Fractures in the child's hand

SummaryMost children's hand fractures can be successfully treated by either simple protective splinting or closed reduction and a short period of immobilisation. However, failure to correct rotational deformities can produce long-term problems. Certain injuries that may require early operative treatment are frequently missed. These include fractures of the neck and condyles of the proximal phalanx and dislocation of the nail combined with an epiphyseal fracture of the distal phalanx.