Category : Pediatrics

Bones Fracture Hand Pediatrics

How to Know if Your Child Has a Broken Bone

It can be difficult to know if your child has a broken bone (also called a “fracture”), if they need emergency care or if they simply need at-home care. To complicate matters further, children need special care when they do break a bone because their bones are still growing and have a different consistency and quality than adult bones.

Children can break bones in a number of ways due to their constant activity and curiosity. They can fall, crush a finger in a door, touch dangerous machinery that they shouldn’t, get hit by a ball, etc.

Here are some important things to note if your child has an injury:

  • Bring your child to the emergency room if the finger, wrist, or arm is not in normal alignment or if there is a skin wound leading to the fracture.
  • Ice the injury if the injured body part looks normal and is movable, but keep an eye on your child’s symptoms.
  • If there is significant bruising or swelling, bring your child to see a hand surgeon as soon as possible. The finger, wrist or arm may be broken, but an x-ray is the only way to tell.
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Congenital Hand Differences Hand Pediatrics

3 Common Congenital Hand Differences

con·gen·i·tal
(adjective)
(especially of a disease or physical abnormality) present from birth

A congenital hand difference is a hand that is abnormal at birth. During fetal development, the upper limbs are formed between four and eight weeks of pregnancy.  During this time, many steps are needed to form a normal arm and hand.  If any of these steps fail, then a congenital hand difference can result. It is not uncommon for a child to be born with a hand difference. In fact, 1 in 20 babies are born with one.

Some congenital hand differences can be major, and some can be minor. Here are 3 common differences:

  1. Syndactyly: This is when parts of the hand are webbed or fused together (failure of separation).
  2. Polydactyly: This is when the child has an extra small finger (duplication).
  3. Radial Polydactyly: This is when the child has an extra thumb (duplication).
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Hand Hand Transplant Pediatrics

Q&A with Dr. Scott Levin, the lead surgeon in 8-year-old Zion’s double hand transplant

L. Scott Levin, MD

from the Naples Herald by Gary Levine

Zion Harvey…an archetypal eight-year-old in so many ways…yet wistfully distinctive in so many others…was the recipient, last week, of a gift like no other.

As a toddler (age 2), Zion horrifically lost both hands and both feet to Sepsis…a life-threatening complication from infection.  Two years later, the infection severely damaged his kidneys and required a kidney transplant…the organ donated by his mother, Pattie Ray.

Despite unimaginable misfortune, Zion is bursting with bravura…with determination…with a gutsiness that most could never muster.

levin-scottApproximately three years ago, Pattie began the search for prosthetic hands for her son.  She approached Dr. Scott Kozin, Chief of Staff at Shriners Hospital for Children in Philadelphia who, along with his partner, Dr. Dan Zlotolow, offered a far more progressive suggestion…Vascularized Composite Allotransplantation…make Zion the youngest recipient of a bilateral hand transplant.Zion has already been successfully fitted for prosthetics for his feet and utilizes them to the fullest.

Drs. Kozin and Zlotolow referred Pattie and Zion to the Children’s Hospital of Philadelphia Hand Transplantation Program…led by Dr. Scott Levin.

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Hand Hand Transplant Pediatrics

8-year-old Zion receives first ever bilateral hand transplant in a child

Watch this touching story about Zion and his journey to receive new hands through a bilateral hand transplant, a 14-hour surgery that required an entire team of surgeons, nurses and anesthesiologists. Learn more about hand surgery at www.handcare.org.

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Finger Fracture Hand Pediatrics Wrist

Random Fact: Playground Injuries

Happy friends having fun on playground

Each year, more than 200,000 children visit the emergency room from an injury on the playground. Learn more about finger, wrist and hand fractures in children, common playground injuries.

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