Table 3.

Management of Pediatric Hand Fractures

Management	Total (%) N = 1,173	Subsequently Required Surgery (N = 115)
By referring physician
Evaluation only	60 (5.1)	14
Immobilization	813 (69.3)	67
Closed reduction and immobilization	255 (21.8)	26
Minor surgery ± immobilization	45 (3.8)	8
By hand surgeon
Evaluation ± range of motion	34 (2.9)
Immobilization ± range of motion	973 (82.9)
Repeat closed reduction and immobilization	13 (1.1)
Initial closed reduction and immobilization	38 (3.2)
Surgery and immobilization	115 (9.8)
Surgical details	N = 115
Anesthesia
General anesthesia, conscious sedation or regional block	102 (88.7)
Local anesthesia	13 (11.3)
Surgical procedures
Open reduction, debridement, no internal fixation required.	16 (13.9)
Closed reduction internal fixation	39 (33.9)
Open reduction internal fixation	60 (52.2)