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Hand Fracture In Children


A hand fracture is a break in one of the bones in the hand. These include the bones in the wrist, fingers, and those that connect the wrist to the fingers. The most commonly fractured hand bones in children are the fingers. The long bone between the wrist and finger is another common type of hand fracture in children.


Informed consent

is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.

Emotional support:

Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.


  • Pain medicine: Your child may need medicine to take away or decrease pain. Know how often your child should get the medicine and how much. Watch for signs of pain in your child. Tell caregivers if his pain continues or gets worse. To prevent falls, stay with your child to help him get out of bed.
  • Antibiotics: This medicine is given to help prevent or treat an infection caused by bacteria.
  • Tetanus shot: This is a shot of medicine to prevent your child from getting tetanus. He may need this if he has breaks in his skin from the injury. He should have a tetanus shot if he has not had one in the past 5 to 10 years.


  • X-rays: Caregivers use these pictures of your child's hand to check for broken bones.
  • CT scan: This test is also called a CAT scan. An x-ray machine uses a computer to take pictures of your child's hand. The pictures may show a fracture or other hand injuries. Your child may be given dye before the pictures are taken to help caregivers see the pictures better. Tell the caregiver if your child has ever had an allergic reaction to contrast dye.
  • MRI: This scan uses powerful magnets and a computer to take pictures of your child's hand. An MRI may show a fracture or other hand injuries. Your child may be given dye to help the pictures show up better. Tell the caregiver if your child has ever had an allergic reaction to contrast dye. Do not let your child enter the MRI room with anything metal. Metal can cause serious injury. Tell the caregiver if your child has any metal in or on his body.


  • Cast or splint: Your child's hand may need to stay in a cast or splint for a period of time to allow it to heal.
  • Surgery: Surgery may be needed if your child's hand is badly injured. Caregivers use wires or screws to return bones to their normal positions. Caregivers may also do surgery to place a new bone into spaces between or around the fracture. The bone may be taken from another part of your child's body or from a donor.


Surgery or an open wound may cause your child to get an infection. He may also bleed more than expected. Your child's hand may not heal without treatment. His hand may be deformed if the fracture heals on its own. He may not be able to move his hand as well as he did before.


You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.