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DOI: 10.5999/aps.2017.44.2.144
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 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.
Publication History
Received: 09 January 2016
Accepted: 28 September 2016
Article published online:
20 April 2022
© 2017. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Frazier WH, Miller M, Fox RS. et al. Hand injuries: incidence and epidemiology in an emergency service. JACEP 1978; 7: 265-268
- 2 Valencia J, Leyva F, Gomez-Bajo GJ. Pediatric hand trauma. Clin Orthop Relat Res 2005; (432) 77-86
- 3 Strickland JW. Bone, nerve, and tendon injuries of the hand in children. Pediatr Clin North Am 1975; 22: 451-463
- 4 Nietosvaara Y, Lindfors NC, Palmu S. et al. Flexor tendon injuries in pediatric patients. J Hand Surg Am 2007; 32: 1549-1557
- 5 Lehfeldt M, Ray E, Sherman R. MOC-PS(SM) CME article: treatment of flexor tendon laceration. Plast Reconstr Surg 2008; 121 (4 Suppl) 1-12
- 6 Sikora S, Lai M, Arneja JS. Pediatric flexor tendon injuries: a 10-year outcome analysis. Can J Plast Surg 2013; 21: 181-185
- 7 Chesney A, Chauhan A, Kattan A. et al. Systematic review of flexor tendon rehabilitation protocols in zone II of the hand. Plast Reconstr Surg 2011; 127: 1583-1592
- 8 Berndtsson L, Ejeskar A. Zone II flexor tendon repair in children: a retrospective long term study. Scand J Plast Reconstr Surg Hand Surg 1995; 29: 59-64
- 9 Grobbelaar AO, Hudson DA. Flexor tendon injuries in children. J Hand Surg Br 1994; 19: 696-698
- 10 Kato H, Minami A, Suenaga N. et al. Long-term results after primary repairs of zone 2 flexor tendon lacerations in children younger than age 6 years. J Pediatr Orthop 2002; 22: 732-735
- 11 de Jong JP, Nguyen JT, Sonnema AJ. et al. The incidence of acute traumatic tendon injuries in the hand and wrist: a 10-year population-based study. Clin Orthop Surg 2014; 6: 196-202