Emergency Department Evaluation and Treatment of Pediatric Orthopedic Injuries

被引:10
|
作者
Thornton, Matthew D. [1 ]
Della-Giustina, Karen [2 ]
Aronson, Paul L. [3 ]
机构
[1] Baystate Med Ctr, Dept Emergency Med, Springfield, MA 01199 USA
[2] Bridgeport Hosp, Dept Emergency Med, Bridgeport, CT 06610 USA
[3] Yale New Haven Childrens Hosp, Dept Pediat Emergency Med, New Haven, CT 06511 USA
关键词
Pediatric orthopedics; Salter-Harris; Physis; Growth plate; Fracture; DISTAL RADIUS FRACTURES; SEPTIC ARTHRITIS; TRANSIENT SYNOVITIS; TRIPLANE FRACTURE; CONTROLLED-TRIAL; PERTHES-DISEASE; TORUS FRACTURES; FOLLOW-UP; CHILDREN; HIP;
D O I
10.1016/j.emc.2014.12.012
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Orthopedic injuries in children are unique when compared to those of adults because of the physiologic differences, especially the growth plates, stronger periosteum, and dynamic state of growth. The approach to the orthopedically injured child requires a gentle yet thorough focus, with consideration of the growth plates as a primary area of weakness and growth when the child sustains an injury. Understanding the developmental stages of bones is paramount to being able to manage any injuries. Finally, what appears to be a benign injury may portend more serious issues, because nonaccidental trauma must always be considered in the evaluation of the injured child.
引用
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页码:423 / +
页数:28
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