Paediatric Hand Injuries Dr Brigid Corrigan Plastic Surgery Registrar.

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Presentation transcript:

Paediatric Hand Injuries Dr Brigid Corrigan Plastic Surgery Registrar

Assessment Vascular supply Nerve Fuction: Sensory and Motor Tendons Bone Soft Tissue Cover Remove Jewellery!

Hand Fractures Open vs Closed Open: Risk of osteomyelitis –Early thorough washout/debridement –Antibiotic prophylaxis –Definitive Fixation

Hand Fractures Closed Fractures: Assessment –? Displaced on xray –Clinical deformity – angulation, displacement –?Neurovascular compromise Management –Reduction +/- fixation –Immobilisation –Rehabilitation

Hand Fractures

Foreign Bodies

Nail Bed Injuries

Flexor tendon Injuries Zones of Injury Repair: Strength vs glide Post op: splinting, physiotherapy

Extensor Tendon Injuries Assessment Repair Post op splinting/phsiotherapy Mallet Finger Injury Boutonniere deformity

Nerve Injuries Anatomy: Median/ulnar/radial Digital nerves Nerve repair Nerve recovery: 1mm/day Post op splinting

Replantation