Citation

Loubani E, Lim R, Bartley D. Curr. Pediatr. Rev. 2018; 14(1): 52-58.

Affiliation

Schulich School of Medicine, Western University. United Kingdom.

Copyright

(Copyright © 2018, Bentham Science Publishers)

DOI

10.2174/1573396313666170911140044

PMID

29098965

Abstract

Trauma remains the leading cause of death in children, of which the majority of patients have orthopedic injuries. The range of injured bones is various, each requiring knowledge and expertise to appropriately manage in a timely fashion. The importance of a systematic approach to the pediatric polytrauma patient is paramount. This chapter will highlight orthopedic issues important to the pediatric polytrauma patient including the unique anatomy and properties of pediatric bone. A systematic approach to the pediatric polytrauma patient will also be discussed. Also, an approach to spinal injury, spinal injuries unique to children such as spinal cord injury without evidence of radiographic abnormality (SCIWORA), high-energy injuries such as atlanto-occipital dislocations and the use of clinical decision rules in cervical spine assessment will be discussed. The special importance of pediatric pelvic fractures will also be discussed, as well as characteristic pediatric fracture patterns and complications such as open fractures and compartment syndrome.

Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Language: en

Keywords

Fracture; Orthopedic; Pediatric; Trauma