小儿指尖损伤

Pediatric Fingertip Injuries.

作者信息

Loewenstein Scott N, Adkinson Joshua M

机构信息

Division of Plastic Surgery, Integrated Plastic Surgery Residency Program, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall, Suite 232, Indianapolis, IN 46202, USA.

Division of Plastic Surgery, Sidney and Lois S. Eskenazi Hospital, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall, Suite 232, Indianapolis, IN 46202, USA.

出版信息

Hand Clin. 2021 Feb;37(1):107-116. doi: 10.1016/j.hcl.2020.09.009.

DOI:10.1016/j.hcl.2020.09.009

PMID:33198910

Abstract

Pediatric fingertip injuries are common and peak at 2 years of age. These injuries most frequently result from a crush mechanism and half sustain an associated fracture. The presence of a physis results in unique injury patterns and management considerations in the growing child. Due to a substantial healing potential in children, an initial conservative approach to management for many soft tissue and nail bed injuries is recommended. This article reviews the evidence and approach for treating pediatric fingertip injuries and amputations.

摘要

小儿指尖损伤很常见，发病高峰在2岁。这些损伤最常由挤压机制导致，半数伴有相关骨折。生长中的儿童因存在骨骺，会导致独特的损伤模式和管理考量。由于儿童有很大的愈合潜力，对于许多软组织和甲床损伤，建议初始采用保守治疗方法。本文综述了治疗小儿指尖损伤和断指的证据及方法。