Abstract
Phalangeal fractures are the most common hand fractures in children and the distal phalanx is the most injured. Minor fingertip injuries are very common; sometimes simple wound care might be enough but, in cases of larger skin loss, local or regional flaps could be required. Carpal fractures are rare, almost always observed in adolescents rather than in children, whereas metacarpal fractures are most commonly metaphyseal compression fractures or Salter–Harris type II physeal fractures.
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