Grand Rounds: Potpourri of Pediatric Hand Injuries

Objectives (Educational Content) :

1. Identify the most common traumatic hand injuries in the pediatric population.

2. Complete a history and physical exam in a pediatric patient with a hand injury.

3. Appreciate indications for non-surgical and surgical treatment of common pediatric hand injuries.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Pediatric hand injuries are commonly encountered in clinical practice, yet clinicians demonstrate variability in their ability to accurately identify common injury patterns, perform age-appropriate histories and physical examinations, and determine appropriate management strategies. In current practice, subtle pediatric-specific injuries—particularly those involving growth plates, tendons, or soft tissues—may be underrecognized or improperly evaluated, leading to delayed diagnosis or inappropriate treatment. Best practice requires clinicians to confidently distinguish injuries amenable to non-surgical management from those requiring timely surgical intervention in order to optimize functional outcomes. This educational activity addresses the gap between current and optimal practice by enhancing clinician knowledge and competence in the evaluation and management of common pediatric traumatic hand injuries

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

01-22-2027

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The speaker(s) has returned the disclosure form, indicating that there are no financial relationships with ineligible companies: Julie Samora, MD The following CME Committee/Planning Committee member(s) has the following financial relationships with ineligible companies to disclose: Merck - Maria Cristina Victorio, MD All financial relationships have been mitigated. The remaining planning committee/CME committee members have indicated that they have no financial relationships with any ineligible companies.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

Strauss et al. A prospective, randomized, controlled trial of 2-octylcyanoacrylate versus suture repair for nail bed injuries. JHS 2008 Feb;33(2):250-32.

 Lin JS, Popp JE, Balch Samora J. Treatment of Acute Seymour Fractures. J Pediatr Orthop. 2019 Jan;39(1):e23-e27. 

3. Lin JS, Samora JB. Outcomes of Splinting in Pediatric Mallet Finger. J Hand Surg Am. 2018 Nov;43(11):1041.e1-1041