Physeal Injuries and Growth Disturbances
FIGURE 7-1 Typical age (and range) of development of the secondary ossification centers of the epiphyses in the (A) upper extremity and (B) lower extremity. FIGURE 7-2 Typical age (and…
Pelvic and Acetabular Fractures
FIGURE 25-1 A: Pelvic radiograph showing a pelvic fracture with the left superior rami injury propagating toward the triradiate cartilage. B: CT scan showing the rami fractures propagating into the…
Distal Humeral Physeal, Medial Condyle, Lateral Epicondylar, and Other Uncommon Elbow Fractures
FIGURE 20-1 A: Group A—AP view of a small infant who had a swollen left elbow after a difficult delivery. The displacement medially of the proximal radius and ulna (arrows)…
Fractures and Traumatic Dislocations of the Hip in Children
FIGURE 26-1 A 10-year-old boy with a fracture through a unicameral bone cyst sustained while running for a soccer ball. Associated Injuries with Hip Fractures Because these fractures are caused…
Lateral Condylar and Capitellar Fractures of the Distal Humerus
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…
Proximal Tibial Physeal Fractures
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 Orthopedic Recognition of Child Maltreatment
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…
Pain Management and Procedural Sedation for the Injured Child
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…
Fractures of the Distal Femoral Physis
FIGURE 28-1 Lateral radiograph of a swollen knee in a 3-month-old girl who reportedly fell out of her crib 8 days earlier. Subperiosteal ossification along the distal femoral shaft indicates…
T-Condylar Distal Humerus Fractures
FIGURE 17-1 A–D: Mechanism patterns. A, B: The more common flexion pattern in which the condylar fragments are situated anterior to the distal shaft. C, D: An extensor pattern in…
