Hand Fractures in Children: Epidemiology and Misdiagnosis in a Tertiary Referral Hospital

Chew EM, Chong AKS (Singapore General Hosp; Natl Univ Hosp, Singapore; et al) J Hand Surg 37:1684-1688, 2012^§

Abstract

Purpose

To determine the local epidemiology of pediatric hand fractures and the rate of misdiagnosis.

Methods

A retrospective study was performed on children aged 17 years and younger who were referred for actual or suspected metacarpal and phalangeal fractures. Medical records were reviewed for age at the time of injury, sex, fracture pattern, venue where the injury was sustained, injury mechanism, and diagnoses made by the referring doctor and hand surgeon. Differing diagnoses were considered misdiagnoses. The misdiagnosis rate was calculated as the percentage of misdiagnoses over the number of referrals.

Results

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