Skin and soft tissue injuries of the hand in children.

Abstract:

:Three pediatric hand injury subtypes and their management have been presented. Finger tip injuries, while often minor and self-healing in children, may require surgical repair if the nailbed is disrupted or if there has been significant skin or pad loss from the tip. The decision between local repair and skin graft or pedicle reconstruction depends on the nature and extent of the injury. Multiple digit injuries should be carefully evaluated and manged with a view toward retention of digit length and restoration of function. Immediate closure of all wounds, while desirable, is not necessary. Minor hand burns are quite easily managed but burn injuries more severe in extent and/or depth must be treated with careful attention to detail. Splinting and elevation of the hand, early incisional decompression, the institution of early and diligent active motion and expeditious wound closure with skin grafts where full thickness loss has occurred will hasten the time of healing, minimize deformity and assist in the recovery of normal hand function.

journal_name

Pediatr Clin North Am

authors

Bennett JE

doi

10.1016/s0031-3955(16)33144-3

subject

Has Abstract

pub_date

1975-05-01 00:00:00

pages

443-9

issue

2

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(16)33144-3

journal_volume

22

pub_type

杂志文章
  • Psychiatric features in children with genetic syndromes: toward functional phenotypes.

    abstract::Neurodevelopmental disorders with identified genetic etiologies present a unique opportunity to study gene-brain-behavior connections in child psychiatry. Parsing complex human behavior into dissociable components is facilitated by examining a relatively homogenous genetic population. As children with developmental de...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2011.06.010

    authors: Siegel MS,Smith WE

    更新日期:2011-08-01 00:00:00

  • Vaccinations in children treated with standard-dose cancer therapy or hematopoietic stem cell transplantation.

    abstract::Most children with cancer are immunocompromised during therapy and for a variable period after completion of therapy. They are at an increased risk of infections, including vaccine-preventable infections. There is a reduction in immunity to vaccine-preventable diseases after completion of standard-dose chemotherapy an...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2007.10.012

    authors: Patel SR,Chisholm JC,Heath PT

    更新日期:2008-02-01 00:00:00

  • Complications of Treatments for Pediatric Rheumatic Diseases.

    abstract::Medications to treat children with rheumatic disease include disease-modifying antirheumatic drugs, glucocorticosteroids, and biologic response modifiers that target mediators and cells involved in autoimmunity and inflammation. Although usually well-tolerated, such medications have many possible side effects, of whic...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2018.04.008

    authors: Higgins GC

    更新日期:2018-08-01 00:00:00

  • Evaluation and management of the Chiari malformation type 1 for the primary care pediatrician.

    abstract::Diagnosis and treatment of CMI is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SMI present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some wil...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/S0031-3955(03)00208-6

    authors: Yassari R,Frim D

    更新日期:2004-04-01 00:00:00

  • Behavioral aspects of trauma in children and youth.

    abstract::Trauma is prevalent in the lives of children. It derives from many sources, and, depending on its characteristics, can produce transient or enduring and devastating consequences. Early trauma, if left untreated, can set the stage for chronic deficits in the behavioral repertoires of affected children, and thus shape p...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(03)00075-0

    authors: Spates CR,Waller S,Samaraweera N,Plaisier B

    更新日期:2003-08-01 00:00:00

  • Update on pain assessment in sick neonates and infants.

    abstract::This article describes developments in pain assessment in critically ill neonates and infants during the last 5 to 6 years. Pain assessment instruments show a redundancy of items and a lack of profound psychometric background. Although most research focuses primarily on acute pain, in clinical practice there is also t...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2012.07.012

    authors: van Dijk M,Tibboel D

    更新日期:2012-10-01 00:00:00

  • Emerging concepts in pediatric emergency radiology.

    abstract::Radiologic studies are a vital component in the workup and diagnosis of disease. An appropriate radiographic study will accurately rule in or rule out disease with the least possible harm. Special considerations are necessary for the imaging of children. Current trends in pediatric imaging support the increased use of...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2013.06.004

    authors: Baker N,Woolridge D

    更新日期:2013-10-01 00:00:00

  • Breast disease in adolescents and young women.

    abstract::Breast lesions, including mastalgia; benign proliferative changes; and benign masses, including fibroadenomas, are common in adolescents and young adult women. Breast cancer is rare in women less than 20 years old and uncommon in women less than 30 years old. Discrete masses in women less than 30 years old that do not...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70140-1

    authors: Neinstein LS

    更新日期:1999-06-01 00:00:00

  • Differential diagnosis and management of anemia in the newborn.

    abstract::Neonatal anemia is a condition with a diverse etiologic spectrum.Therefore, in order to form a focused differential diagnosis, it is important for the caregiver to have some knowledge of the more common causes of low hemoglobin and hematocrit concentrations in the neonate. Proper history taking, physical examination, ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2004.03.006

    authors: Bizzarro MJ,Colson E,Ehrenkranz RA

    更新日期:2004-08-01 00:00:00

  • Partnerships between pediatric palliative care and psychiatry.

    abstract::Children with life-threatening illnesses and their families may face physical, emotional, psychosocial, and spiritual challenges throughout the children's course of illness. Pediatric palliative care is designed to meet such challenges. Given the psychosocial and emotional needs of children and their families it is cl...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2011.06.003

    authors: Knapp C,Madden V,Button D,Brown R,Hastie B

    更新日期:2011-08-01 00:00:00

  • Hypoglycemia: a complication of diabetes therapy in children.

    abstract::The experience of hypoglycemia is probably the most feared and hated consequence of life with type 1 diabetes among pediatric patients and their parents. Although transient detrimental effects are clearly disturbing and may have severe results, there is surprisingly little evidence of long-term CNS damage, even after ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2005.08.002

    authors: Ryan C,Gurtunca N,Becker D

    更新日期:2005-12-01 00:00:00

  • Pediatric cataracts.

    abstract::The presentation, etiology, diagnostic examination, and management of pediatric cataracts are discussed in this article. If untreated, cataracts result in significant visual deprivation. Evaluation of the pupillary light reflex should become an integral part of every pediatrician's physical examination. Patients shoul...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38591-1

    authors: Potter WS

    更新日期:1993-08-01 00:00:00

  • Pulmonary Manifestations of Systemic Vasculitis in Children.

    abstract::Vasculitides are defined according to the vessel size involved, and they tend to affect certain organ systems. Pulmonary involvement is rare in the common childhood vasculitides, such as Kawasaki disease, IgA vasculitis (Henoch Schonlein purpura). On the other hand, lung involvement is common in a rare pediatric vascu...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2020.09.014

    authors: Cuceoglu MK,Ozen S

    更新日期:2021-02-01 00:00:00

  • Allergens and asthma.

    abstract::This article presents the studies that show that asthma in children is strongly associated with sensitization to dust mite and other indoor allergens. In addition, the recent evidence that this association reflects a causal relationship between allergen exposure and asthma is reviewed. The relevance of quantitative me...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)38445-0

    authors: Duff AL,Platts-Mills TA

    更新日期:1992-12-01 00:00:00

  • Tolerance: is it achievable in pediatric solid organ transplantation?

    abstract::In the clinical arena of transplantation, tolerance remains, for the most part, a concept rather than a reality. Although modern immunosuppression regimens have effectively handled acute rejection, nearly all organs except the liver commonly suffer chronic immunologic damage that impairs organ function, threatening pa...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2010.01.015

    authors: Seyfert-Margolis V,Feng S

    更新日期:2010-04-01 00:00:00

  • Endocrine manifestations of critical illness in the child.

    abstract::The stress response in humans commonly includes elevations in plasma concentrations of glucocorticoids, catecholamines, glucagon, growth hormone, aldosterone, and renin, resulting in alterations in the metabolism of glucose and other energy substrates, and in increased sodium and water retention. In severe illness, tr...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36185-5

    authors: Weise K,Zaritsky A

    更新日期:1987-02-01 00:00:00

  • Syncope in the pediatric patient. The cardiologist's perspective.

    abstract::The evaluation of syncopal children or adolescents relies heavily on a thorough, detailed history and physical examination. All syncope associated with exercise or exertion must be considered dangerous. The ECG is mandatory, but other laboratory tests are generally of limited value unless guided by pertinent positives...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70113-9

    authors: Lewis DA,Dhala A

    更新日期:1999-04-01 00:00:00

  • Diabetic ketoacidosis.

    abstract::In the past decade, considerable advances have occurred in our understanding of the pathophysiology of this disorder, its metabolic sequelae, and its management, particularly with respect to continuous low-dose insulin infusion and the potential benefits of phosphate. This article reviews these advances as they pertai...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)34608-9

    authors: Sperling MA

    更新日期:1984-06-01 00:00:00

  • The practitioner's role in newborn screening.

    abstract::In this article the practitioner's role in newborn screening were summarized and guidelines to assist in their execution were provided. The authors summarized the tests that are currently used in North America and provided a short discussion of current and future issues in this area. Newborn screening is no longer a s...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38291-8

    authors: Buist NR,Tuerck JM

    更新日期:1992-04-01 00:00:00

  • Indigenous newborn care.

    abstract::Infant mortality and morbidity disparities occur between non-Indigenous and Indigenous populations of Australia, Canada, New Zealand, and the United States. Neonatal mortality is due to high-risk births, which vary according to prevalence of the maternal risk factors of smoking, alcohol consumption, infection, and dis...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2009.09.009

    authors: Sayers SM

    更新日期:2009-12-01 00:00:00

  • Pediatric Quality Improvement: Practical and Scholarly Considerations.

    abstract::This article describes important aspects of health-care quality, quality improvement (QI), patient safety (PS), and approaches to research on QI/PS efforts. Common terminology to facilitate an understanding of QI and PS research is reviewed. Models for understanding system and process performance are discussed. Introd...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2015.12.006

    authors: Niedner MF

    更新日期:2016-04-01 00:00:00

  • Delivery room management of the newborn.

    abstract::Neonatal resuscitation is an attempt to facilitate the dynamic transition from fetal to neonatal physiology. This article outlines the current practices in delivery room management of the neonate. Developments in cardiopulmonary resuscitation techniques for term and preterm infants and advances in the areas of cerebra...

    journal_title:Pediatric clinics of North America

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.pcl.2009.03.003

    authors: Rajani AK,Chitkara R,Halamek LP

    更新日期:2009-06-01 00:00:00

  • Hyperthyroidism in children and adolescents.

    abstract::Hyperthyroidism in infants and children usually is caused by Graves' disease; however, several other diseases can also produce hyperthyroidism in these age groups. Because the pathophysiology and clinical course of these conditions differ, optimal treatment depends on precise diagnosis. ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)37011-0

    authors: Zimmerman D,Gan-Gaisano M

    更新日期:1990-12-01 00:00:00

  • Pediatric disorders of water balance.

    abstract::Fluid homeostasis requires adequate water intake, regulated by an intact thirst mechanism and appropriate free water excretion by the kidneys, mediated by appropriate secretion of arginine vasopressin (AVP, also known as antidiuretic hormone). AVP exerts its antidiuretic action by binding to the X chromosome-encoded V...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2011.07.013

    authors: Ranadive SA,Rosenthal SM

    更新日期:2011-10-01 00:00:00

  • Antibiotic resistance in group A streptococci.

    abstract::Although erythromycin resistance in GABHS has been a major problem in Japan and in Finland, it has not been a problem in the United States. The susceptibility of GABHS to the newer macrolide antibiotics seems to be similar to that of erythromycin. Comprehensive, community-wide programs to continuously monitor for eryt...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38978-7

    authors: Gerber MA

    更新日期:1995-06-01 00:00:00

  • Pitfalls in the diagnosis of juvenile rheumatoid arthritis.

    abstract::There are many conditions that produce chronic arthritis in childhood, including JRA. The pitfalls associated with proper diagnosis involve underrecognition, misrecognition, and overrecognition of symptoms and signs. ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)36106-5

    authors: Brewer EJ Jr

    更新日期:1986-10-01 00:00:00

  • Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth: Research Evidence and Clinical Implications.

    abstract::In this article, we review theory and evidence on stigma and minority stress as social/structural determinants of health among lesbian, gay, bisexual, and transgender (LGBT) youth. We discuss different forms of stigma at individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2016.07.003

    authors: Hatzenbuehler ML,Pachankis JE

    更新日期:2016-12-01 00:00:00

  • Acculturative Stress and Mental Health: Implications for Immigrant-Origin Youth.

    abstract::"In this article, the authors provide an overview of the current global and US debates on immigration as a key developmental context for immigrant-origin youth. Relying on a conceptual framework that highlights both risk and protective factors, the authors provide evidence from their longitudinal study that empiricall...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2019.02.010

    authors: Sirin SR,Sin E,Clingain C,Rogers-Sirin L

    更新日期:2019-06-01 00:00:00

  • Neural tube defects: maternal serum screening and prenatal diagnosis.

    abstract::Neural tube defects represent some of the most common and serious of the congenital malformations. Although elevation of alpha-fetoprotein in amniotic fluid is not diagnostic, it does indicate an abnormality of the fetus in a very high proportion of cases. A normal level, however, does not exclude the possibility of a...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)33607-0

    authors: Crandall BF,Lebherz TB,Freihube R

    更新日期:1978-08-01 00:00:00

  • Renal transplantation in children.

    abstract::The application of the principles underlying successful renal transplantation in children has led us to increasing success in achieving our goals, which involve more than simple renal function replacement and include effective growth in stature, skeletal and central nervous system development, as well as social develo...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)36327-1

    authors: Sheldon CA,McLorie GA,Churchill BM

    更新日期:1987-10-01 00:00:00