{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:55:32Z","timestamp":1777661732362,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Hand injuries are common in the pediatric population with a wide spectrum of morbidity that can occur. Simple injuries are distinguished from complex injuries by the number of fingers\/systems that are involved. The epidemiology of simple and complex operative hand trauma in the pediatric population has not yet been defined.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective review was performed of all pediatric patients requiring operative intervention for hand trauma at a major children\u2019s hospital over a 3-year period (2015-2017). Data pertaining to demographics, mechanism, severity, type of surgery, and other factors related to hand trauma were then analyzed and interpreted.\n                    <jats:bold>Results:<\/jats:bold>\n                    Three hundred seventy-one pediatric hand injuries over a 3-year period required surgical intervention, with 19.2% being classified as complex. The average patient age was 11.0 years. A total of 68.7% of patients were men. Bony injuries made up 86.3% of simple injuries, with the proximal phalanx being the most commonly fractured bone. Complex injuries occurred more frequently in men and required a greater number of surgeries (1.6 vs 1.0). Of the complex injuries, only major injuries (severity score &gt;100) required a significantly greater number of surgeries. Major hand injuries were mostly caused by motorized vehicles and required a significantly greater number of surgeries (3.8), compared with other causes of injuries.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Operative hand injuries occur along a spectrum of morbidity in the pediatric population. While most of the injuries are simple and require only 1 procedure, more complex injuries can also occur and deserve a higher level of care and attention.\n                  <\/jats:p>","DOI":"10.1177\/1558944719893037","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T02:06:04Z","timestamp":1576634764000},"page":"827-831","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The Epidemiology of Operative Pediatric Hand Trauma: A Retrospective Chart Review"],"prefix":"10.1177","volume":"16","author":[{"given":"John C.","family":"Koshy","sequence":"first","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6151-3067","authenticated-orcid":false,"given":"Luke J.","family":"Grome","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Schultz","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryce","family":"Bell","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Reece","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William C.","family":"Pederson","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31824a4c5b"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0196-0644(05)81251-x"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20160222-06"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(79)80025-X"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/crad.2001.0753"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.06.006"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(86)90259-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2007.09.001"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000118"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412475045"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2013.08.009"},{"key":"e_1_3_2_13_2","unstructured":"US Consumer Product Safety Commission. Reported ATV-related fatalities (by state). https:\/\/www.cpsc.gov\/Safety-Education\/Safety-Education-Centers\/ATV-Safety-Information-Center\/Death-Associated-With-ATVs-by-State-. Accessed June 27 2018."},{"key":"e_1_3_2_14_2","unstructured":"American Academy of Pediatrics. ATVs are dangerous to children: injuries have increased estimated ATV deaths up\u2014but data is incomplete. https:\/\/www.aap.org\/en-us\/about-the-aap\/aap-press-room\/pages\/AAPCFAATVData.aspx. Accessed June 27 2018."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2017.44.2.144"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944719893037","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944719893037","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944719893037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:26:41Z","timestamp":1777447601000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944719893037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,17]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/1558944719893037"],"URL":"https:\/\/doi.org\/10.1177\/1558944719893037","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,17]]}}}