Analysis of 1430 hand fractures and identifying the ‘Red Flags’ for cases requiring surgery

Üstün, Galip Gencay; Kargalıoğlu, Ferhat; Akduman, Burkay; Arslan, Ramazan; Kara, Murat; Gürsoy, Koray; Koçer, Uğur

doi:10.1016/j.bjps.2021.06.011

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…Our study revealed a male predominance with type II phalangeal neck fractures, injury sites, and mechanisms, similar to that reported in previous literatures [1,13,16]. In all types of phalangeal neck fractures, Al-Qattan [5] showed that right hand was more commonly involved than left (1.4 : 1 ratio), while left hands were more often affected than right hands (left/right, 1.2) in our cases with type II phalangeal neck fractures.…”

Section: Discussionsupporting

confidence: 91%

Comparison of splinting immobilization and K-wire fixation in children with type II phalange neck fracture

Wang

Huang

et al. 2023

Journal of Pediatric Orthopaedics B

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To compare outcomes of type II phalangeal neck fractures in children who received closed reduction followed by splinting immobilization or by K-wire fixation. Furthermore, we analyzed the remodeling potential of residual deformities and the relationship between age and outcomes. Patients in Children’s Hospital of Fudan University, Xiamen Hospital were included in the study from October 2015 to October 2018. We compared outcomes between the conservation group and operation group. Remodeling of residual deformities was calculated on a series of anteroposterior and lateral radiography. The correlation between age and outcomes was analyzed using Spearman’s rank correlation coefficient. Forty patients (25 males) were enrolled. Nineteen patients had subtype IIa, 19 subtype IIb, and two subtype IIc fractures. Left hands were affected more than right hands, and small finger and proximal phalanx were more frequently involved. There were no significant differences between conservation group and operation group among excellent, good, and fair outcomes. And the outcomes were not significantly different between the IIa and IIb subtypes. An average sagittal remodeling rate was 88.5%, and coronal remodeling rate was 56.71%, respectively, in 13 patients with residual deformities. There was a significant correlation between age and final outcomes. Closed reduction and stable splint fixation may be an effective and economical initial treatment option. Fracture subtype does not seem to be a key factor for choosing treatment options. The fractured phalangeal neck had remodeling potential whether on sagittal or coronal plane. Younger age might be a predictor of better outcomes in children with type II phalanx neck fractures.

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