In the emergency department, apart from bruises and lacerations to the head the hand is one of the most injured body parts in children with 20-25%. Various injury patterns can be found ranging from trivial injuries to complex lesions requiring difficult operative procedures. There is a significant difference in the type of injury between very young and older children. The foot is much less affected by injuries (5-10%) and they are mostly trivial soft tissue lesions, such as bruises. Time-consuming soft tissue reconstructions are therefore more necessary on the hand. At this anatomic site approximately 10% are amputation injuries or tendon and nerve injuries.
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