Musculoskeletal Key

FIGURE 19-1 A: Injury film of a 7-year old with a nondisplaced fracture of the lateral condyle (small arrows). Attention was drawn to the location of the fracture because of…

FIGURE 29-1 Jumping on the trampoline is a common mechanism for young children to sustain valgus and varus fractures of the proximal tibia. Tibial tubercle apophyseal fractures are more frequently…

The Child at Risk Most reported cases of child abuse involve children younger than 3 years of age.96 In one report of abused children,30 78% of all fractures reported were…

For displaced fractures or for children reporting higher pain scores, IV, IM, or IN pain medications may be necessary. Fentanyl may be preferable as the initial narcotic as it is…

Historically, acute compartment syndromes (ACSs) were more commonly reported in the forearm associated with supracondylar humerus (SCH) fractures and in the lower extremity associated with femur fractures. Likely, this was…

FIGURE 24-1 A lap belt used for a child can create a point of rotation about which the spine is flexed with an abrupt stop. This is a common mechanism…

Early reports of children’s fractures lumped the areas fractured together, and fractures were reported only as to the long bone involved (e.g., radius, humerus, femur).11,49,56,77,81 More recent reports have split…

FIGURE 5-1 Temporary cervical spine stabilization is imperative in any child with multitrauma, especially those who are unconscious or complain of neck pain. Fluid Replacement Once an adequate airway is…

FIGURE 2-1 Bone development. During embryonic development, undifferentiated cells proliferate and compact to form the limb bud. As these cells proliferate, regions within the limb bud that undergo greater condensation…