Management of Pediatric Hand Injuries in the Acute Setting Part 3: Lacerations and Fingertip Injuries.

UNLABELLED: This is the third article in a series on the assessment and management of pediatric hand trauma. Building on the foundational principles established in the previous articles, this segment focuses on lacerations and fingertip injuries-frequently encountered open pediatric hand injuries in emergency departments. Prompt recognition and appropriate initial treatment are essential to optimize functional outcomes and prevent complications.

KEY CONCEPTS: (1)Examination of arm and hand function in children with a laceration can be difficult.(2)Recommendations are made for examination of children to identify tendon, nerve and arterial injury.(3)Fingertip injuries can often be treated in the emergency department.(4)Hand lacerations and amputations at all levels should include a consultation with a hand surgeon.