A case series of pediatric seymour fractures related to hoverboards: Increasing trend with changing lifestyle

Kattan, Abdullah E.; Alshomer, Feras; Alhujayri, Abdullaziz K; Alfowzan, M.; Murrad, Khalid; Alsajjan, H.

doi:10.1016/j.ijscr.2017.06.058

Cited by 13 publications

(13 citation statements)

References 23 publications

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“…26 The recent emerging hoverboard has been reported to cause more upper extremity fractures than other childhood recreational activities. 39,40 Unlike acute fractures from sporting injuries, repeated stress injuries often are overlooked. Chronic wrist pain is commonly seen in gymnastics and other sports that involve repeated loading across the distal radius physis.…”

Section: Sporting Injuriesmentioning

confidence: 99%

Pediatric Hand and Wrist Fractures

Liao

Chong

2019

Clinics in Plastic Surgery

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Hand and wrist fractures have been consistently reported as among the most common fractures in children. 1-3 They are 3 times more common in boys and peak in the teenage years (Fig. 1). 4 Forearm fractures compromise the largest proportion of fractures. 1 In the hand, the proximal phalanx and the fifth ray are the most commonly affected bone and digit, respectively (Fig. 2). 4 Distal phalangeal fractures tend to occur in toddlers starting to explore the world with their hands, making them susceptible to fingertip crush injuries from slammed doors. With increasing age, the distribution of fractures moves proximally, with median ages of 12 years for proximal phalanx fractures and 15 years for metacarpal fractures. This distribution corresponds to the increasing body weight and participation in sporting activities during the teenage years. CONSIDERATIONS IN THE PEDIATRIC POPULATION Epidemiologic studies generally use 17 years or 18 years of age as the limit for pediatric fractures. The unique considerations in the management of pediatric hand fractures, however, apply to children with open physes with the potential to remodel. In addition, the ability of a child to participate and cooperate in the management may Disclosure: The authors have nothing to disclose.

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Section: Sporting Injuriesmentioning

confidence: 99%

Pediatric Hand and Wrist Fractures

Liao

Chong

2019

Clinics in Plastic Surgery

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“…Hence, pediatric hand injuries are frequently encountered in clinical practice. 15,16 The prevalence of phalangeal neck fractures is relatively high, and the current classification of these fractures originated from Saudi Arabia. 17 Consanguineous marriages are common in Saudi Arabia.…”

Section: Hand Surgery Subspecialty Practices In Saudi Arabiamentioning

confidence: 99%

Hand Surgery in Saudi Arabia

Kattan

Al‐Qattan

2021

Journal of Hand and Microsurgery

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Hand surgery is a unique field that incorporates multiple specialties, aiming to provide the patient with a best possible functional and aesthetic results. Hand surgeons deal with different pathologies that require skills in several aspects of surgery. The field of hand surgery has evolved significantly over the past decades across the globe. This specialty has also been evolving in Saudi Arabia over the past 25 years. Some of the services offered to patients include specialized centers for brachial plexus, peripheral nerve, and pediatric hand surgery as well as centers for work-related hand injuries. There has also been significant contribution to the hand surgery literature from the hand surgeons working in Saudi Arabia, with hundreds of papers published in journals pertaining to hand surgery, orthopedic surgery, and plastic surgery, as well as the publication of several novel mutations causing congenital hand defects in journals concerned with genetics. The recent approval of a hand and microsurgery fellowship program in Saudi Arabia will also help boost this field in the country and the region.

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“…Seymour fractures are displaced, open fractures of the juxta-epiphyseal region of the distal phalanx, (1) with an overlying nail bed laceration, that occur in skeletally immature individuals. While this fracture pattern was first described by Seymour in 1966(1) the exact definition is not unanimous; the majority of sources (2)(3)(4)(5)(6)(7)(8)(9)(10)(11) define it as an open injury however several sources also include a closed injury (12,13). Seymour's original description of the fracture did not specifically comment on the presence or absence of nailbed injury, and thus the definition is subject to interpretation.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a systematic review of the incidence of infection in operative vs non-operative management of Seymour fractures in children and adolescents

Kiely¹,

Nolan²,

Cooper³

2020

Preprint

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Background Seymour fractures are open, displaced juxta-epiphyseal fractures of the distal phalanx, with an overlying nail bed laceration that occur in children and adolescents with an open physis. This fracture occurs rarely, but its potential consequences are clinically significant. Due to anatomical particulars and proximity to the growth plate, this open fracture may result in soft tissue infection and osteomyelitis, leading to growth arrest and persistent mallet deformity. At present, there is no consensus as to the optimal management of Seymour fractures. The objective of this study will be to systematically evaluate the existing evidence to establish whether operative or non-operative management of Seymore fractures is associated with a lower incidence of infection. Methods We designed and registered a study protocol for a systematic review of comparative and observational studies. A comprehensive literature search will be conducted (from 1966 to present) in MEDLINE, EMBASE, CINAHL, Cochrane Library and Google Scholar databases. Grey literature will be identified through searching Open Grey and dissertation databases using an exhaustive search strategy. All clinical studies examining the management of Seymour fractures in children & adolescents will be included, comparing operative and non-operative groups. Operative management will be defined as formal washout and soft tissue debridement prior to reduction, whether in the emergency department or operating theatre. Non-operative management refers to washout without surgical debridement. Primary outcome measures will be the incidence of superficial and deep infection. Secondary outcomes will include adverse events such mal-union, non-union, need for re-operation, physeal disturbance, nail dystrophy/atrophy. Two independent reviewers will screen all citations, full-text articles, and abstract data. Conflicts will be resolved through discussion. The study methodological quality (or bias) will be appraised using an appropriate tool. A narrative synthesis will be performed and if two or more studies with comparable design and reporting the same outcome are identified, data will be pooled for comparative analysis. Discussion This review will provide robust evidence for the management of Seymour fractures, based on a cumulation of existing studies. Due to the rarity of this fracture pattern, included studies are expected to be mainly observational and prone to bias; however, there is value in summarising the evidence, assessing its risk of bias and performing meta-analysis where possible to guide clinicians. Registration PROSPERO CRD42020153726

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A case series of pediatric seymour fractures related to hoverboards: Increasing trend with changing lifestyle

Cited by 13 publications

References 23 publications

Pediatric Hand and Wrist Fractures

Pediatric Hand and Wrist Fractures

Hand Surgery in Saudi Arabia

Protocol for a systematic review of the incidence of infection in operative vs non-operative management of Seymour fractures in children and adolescents

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