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…
Evaluation of Pediatric Distal Humeral Fractures
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…
Compartment Syndrome in Children
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…
Thoracolumbar Spine Fractures
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…
Epidemiology of Fractures in Children
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…
