Pediatric Hand and Wrist Fractures

Clin Plast Surg. 2019 Jul;46(3):425-436. doi: 10.1016/j.cps.2019.02.012.


Hand and wrist fractures are common in the pediatric population. Accurate diagnosis relies on the understanding of the physeal anatomy and carpal ossification. Treatment of these fractures is largely influenced by physeal biology and compliance with treatment. A majority have a favorable outcome with nonoperative treatment. Operative treatment should be considered in patients with clinical deformity, open fractures, and significant fracture displacement. Physeal-friendly surgical approaches and implants should be used to minimize the sequelae of physeal injury.

Keywords: Distal radius fractures; Metacarpal fractures; Pediatric hand fractures; Phalangeal neck fractures; Physeal injuries; Scaphoid fractures; Seymour fractures.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Hand Bones / injuries*
  • Hand Injuries / therapy*
  • Humans
  • Infant
  • Intra-Articular Fractures / therapy*
  • Wrist Injuries / therapy*