Monthly Archive:: July 2015
Imaging of the knee injuries in children should include AP and lateral radiographs. Add special views and MRI studies if ligament or meniscal injury is suspected. MRI is less reliable in the young child because congenital abnormalities
Tibial fractures account for about 8% of children’s fractures. Because the tibia has little soft tissue cover and the leg is exposed to view with normal clothing, malunion is more obvious than for most long-bone fractures. Overgrowth
Accessory Ossicles Accessory ossification centers occur in both the malleoli. In some cases, this ossification center fails to fuse with the epiphysis, and an accessory ossicle develops. Fracture of the synchrondrosis between the ossicle and the malleolus
Foot fractures in children account for about 6% of all fractures and about half involve the metatarsals (MTs). Soft tissue injuries are relatively common because the child’s foot is vulnerable to injury.
The major challenge in managing trauma is avoiding complications. Children’s fractures generally heal quickly. Vascular complications are uncommon, nerve injuries usually recover with time, and joint motion recovers spontaneously. In general, outcomes are excellent, unless problems develop.
Pathologic fractures are relatively common in children. Fractures frequently occur through osteopenic bone in children with neuromuscular disorders and through bone weakened by tumors.
Occult injuries are subtle injuries that are likely to be missed or mis-diagnosed. Occult injuries are more common in infants and children because ossification is variable and incomplete and because children are difficult to examine. The child
30 Jul 15
Establishing an accurate diagnosis is the most important step in managing childhood injuries. Most major management errors are due to an inaccurate diagnosis. The evaluation of the injured child is difficult because injuries are sometimes multiple, the
30 Jul 15
Fixation of children’s fractures have become more widely practiced than in previous decades. This is due in part to the increasing costs of hospitalization. The principles of internal fixation include the following: Supplement with cast Internal fixation
Indications for the need and accuracy of fracture reduction in children are often complex and require good judgment. Base these decisions on underlying principles whenever possible. Unfortunately, data on which to base these principles is limited. Some