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J Trauma Inj : Journal of Trauma and Injury

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2 "Adolescent"
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Original Article
Pediatric Hand Trauma: An Analysis of 3,432 Pediatric Hand Trauma Cases Over 15 Years
Ki Pyo Sung, Soo Hyang Lee
J Trauma Inj. 2021;34(4):257-262.   Published online October 15, 2021
DOI: https://doi.org/10.20408/jti.2021.0037
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AbstractAbstract PDF
Purpose

Pediatric hand trauma is common and sometimes causes deformity or disability. The incidence and etiologies of hand trauma in children are different from those in adults. This study analyzed the characteristics of pediatric hand trauma cases and patients over a 15-year period.

Methods

We conducted a retrospective medical record review of 3,432 children (2,265 boys, 1,167 girls, under 18 years of age) with hand injuries from January 2005 to December 2019. We evaluated the sex distribution and injury etiologies. Injuries were classified by type as burns, amputations, crushing injuries, lacerations, extensor and flexor tendon injuries, open and closed fractures, and nerve injuries.

Results

Among the pediatric hand injury patients, males were predominant (1.94:1). Simple lacerations (58.4%) were the most common injury type, followed by fractures (22.8%). Lacerations and burns tended to be common in younger age groups, while tendon injuries, nerve injuries, and crushing injuries were more frequently encountered in older age groups.

Conclusions

Hand trauma prevention strategies should be established considering the frequent trauma etiologies in specific age groups. An awareness of age-specific characteristics of pediatric hand trauma patients will be helpful to prevent hand trauma.

Summary
Case Report
Tillaux Fracture in an Adolescent with a Trimalleolar Ankle Fracture
Seok Kyun Park, Soo Uk Chae
J Trauma Inj. 2015;28(4):280-283.   Published online December 31, 2015
DOI: https://doi.org/10.20408/jti.2015.28.4.280
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  • 8 Download
AbstractAbstract PDF
The adolescent Tillaux fracture is an avulsion fracture of the anterolateral corner of the distal tibial epiphysis caused by external rotation of the foot. This type of fracture occurs during epiphyseal fusion in adolescence. A difficult to detect Tillaux fracture was discovered on a preoperative radiograph, such fractures have rarely been reported to accompany a predominantly adult-type ankle fracture. Especially, to the best of our knowledge, no case of a trimalleolar ankle fracture in an adolescent with a Tillaux fracture has been reported. Thus, we present a case of a trimalleolar ankle fracture in a 15-year-old adolescent with a Tillaux fracture who was successfully treated surgically.
Summary

J Trauma Inj : Journal of Trauma and Injury