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Selected Instructional Course Lecture   |    
Operative Carpal and Hand Injuries in Children
Peter M. Waters, MD1
1 Children's Hospital Boston, 300 Longwood Avenue, Hunnewell 2, Boston, MA 02115. E-mail address: peter.waters@tch.harvard.edu
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Disclosure: The author did not receive any outside funding or grants in support of his research for or preparation of this work. Neither he nor a member of his immediate family received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the author, or a member of his immediate family, is affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2008 in Instructional Course Lectures, Volume 57. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Sep 01;89(9):2064-2074
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Extract

Most carpal and hand injuries in children are treated nonoperatively. The purpose of this lecture is to identify those clinical situations that require operative intervention. Complications from pediatric hand fractures, dislocations, and soft-tissue injuries are most commonly due to the failure to identify and treat an injury requiring an operation acutely. This lecture will also review surgical techniques for specific injuries of the carpus and hand in children. With regard to the wrist, this discussion will include the indications for open reduction of scaphoid fractures, treatment of scaphoid nonunions, and arthroscopic examination and treatment of chondral and ligamentous injuries. Distal injuries that are treated surgically include Seymour fractures, phalangeal neck injuries, and intra-articular fractures.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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