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…

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…

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…

Distal Humerus Ossification of the distal humerus proceeds at a predictable rate. In general, the rate of ossification in girls exceeds that of boys.23,26,30 In some areas, such as the…

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…