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Hand Clin. 2006 Feb;22(1):1-10.

Finger metacarpal fractures and dislocations in children.

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  • 1The Children's Hospital of Philadelphia, Division of Orthopaedics, Wood Center, 2nd Floor, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.


Metacarpal fractures in the finger rays are common injuries in children's hands. Fractures of the finger metacarpals account for 10% to 39% of all hand fractures in children,especially in the 13- to 16-year age group. Most of these fractures can be treated success-fully nonoperatively, although a subset requires more aggressive treatment. Results following appropriate care of these fractures are generally good, although complications can occur. This article reviews fractures and dislocations involving the finger metacarpals in children, provides standard treatment algorithms, and highlights potential pit-falls in their management.

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