Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults

Background The purpose of this study was to identify the epidemiologic characteristics of hand tendon injuries in children and to compare these with those of adults. Methods This retrospective study was conducted on acute traumatic tendon injuries of the hand treated at our institution...

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Main Authors: Jin Sung Kim, Seung Je Sung, Young Joon Kim, Young Woong Choi
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2017-03-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.2.144
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author Jin Sung Kim
Seung Je Sung
Young Joon Kim
Young Woong Choi
author_facet Jin Sung Kim
Seung Je Sung
Young Joon Kim
Young Woong Choi
author_sort Jin Sung Kim
collection DOAJ
description Background The purpose of this study was to identify the epidemiologic characteristics of hand tendon injuries in children and to compare these with those of adults. Methods This retrospective study was conducted on acute traumatic tendon injuries of the hand treated at our institution from 2005 to 2013, based on medical records and X-ray findings. Age, sex, hand injured, mechanism of injury, tendons and zones injured, number of affected digits, and comorbidities and complications were analyzed. Patients were divided into 2 groups: a pediatric group (≤15 years) and an adult group (>15 years). Results Over the 9-year study period, 533 patients were surgically treated for acute traumatic tendon injuries of the hand. In the pediatric group (n=76), being male, the right hand, the extensor tendon, complete rupture, the middle finger, and glass injury predominated in hand tendon injuries. In the adult group (n=457), results were similar, but injury to the index finger and knife injury were the most common. An accompanying fracture was more common in the adult group and complication rates were non-significantly different. Conclusions This comparative analysis revealed no significant epidemiologic intergroup differences. The belief that pediatric tendon injuries tend to be less severe is misplaced, and careful physical examination and exploration should be conducted in pediatric cases of hand injury.
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spelling doaj.art-955962174a4741c18fd919d04cf6dabe2022-12-22T03:59:45ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712017-03-01440214414910.5999/aps.2017.44.2.144775Analysis of Pediatric Tendon Injuries in the Hand in Comparison with AdultsJin Sung Kim0Seung Je Sung1Young Joon Kim2Young Woong Choi3Item Plastic Surgery Clinic, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaBackground The purpose of this study was to identify the epidemiologic characteristics of hand tendon injuries in children and to compare these with those of adults. Methods This retrospective study was conducted on acute traumatic tendon injuries of the hand treated at our institution from 2005 to 2013, based on medical records and X-ray findings. Age, sex, hand injured, mechanism of injury, tendons and zones injured, number of affected digits, and comorbidities and complications were analyzed. Patients were divided into 2 groups: a pediatric group (≤15 years) and an adult group (>15 years). Results Over the 9-year study period, 533 patients were surgically treated for acute traumatic tendon injuries of the hand. In the pediatric group (n=76), being male, the right hand, the extensor tendon, complete rupture, the middle finger, and glass injury predominated in hand tendon injuries. In the adult group (n=457), results were similar, but injury to the index finger and knife injury were the most common. An accompanying fracture was more common in the adult group and complication rates were non-significantly different. Conclusions This comparative analysis revealed no significant epidemiologic intergroup differences. The belief that pediatric tendon injuries tend to be less severe is misplaced, and careful physical examination and exploration should be conducted in pediatric cases of hand injury.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.2.144childtendonshandwounds and injuriesepidemiologic studies
spellingShingle Jin Sung Kim
Seung Je Sung
Young Joon Kim
Young Woong Choi
Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults
Archives of Plastic Surgery
child
tendons
hand
wounds and injuries
epidemiologic studies
title Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults
title_full Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults
title_fullStr Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults
title_full_unstemmed Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults
title_short Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults
title_sort analysis of pediatric tendon injuries in the hand in comparison with adults
topic child
tendons
hand
wounds and injuries
epidemiologic studies
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.2.144
work_keys_str_mv AT jinsungkim analysisofpediatrictendoninjuriesinthehandincomparisonwithadults
AT seungjesung analysisofpediatrictendoninjuriesinthehandincomparisonwithadults
AT youngjoonkim analysisofpediatrictendoninjuriesinthehandincomparisonwithadults
AT youngwoongchoi analysisofpediatrictendoninjuriesinthehandincomparisonwithadults