Introduction Fractures about the knee in pediatric patients account for a small percentage of childhood injuries. However, their associated complications have some of the most significant potential for patient morbidity. Acute complications such as compartment syndrome and vascular injury can…
Introduction Diaphyseal femur fractures are one of the most common orthopedic injuries requiring hospitalization in children and account for 2% of all bony injuries. Historically, femoral shaft fractures were managed nonoperatively in children and young adults, typically with spica casting…
Pediatric Pelvic Fractures Pediatric pelvic bone fractures are quite uncommon, except for avulsion fractures. Pelvic fractures in these age groups are mainly seen after high-energy traumatic injuries like motor vehicle accidents. A study by Banerjee et al. from a level…
Introduction Although thoracolumbar spine trauma is rare in children, complications are common and may be catastrophic if diligent care is not taken in the management of such injuries. The immature, developing spine has unique features that make its injury patterns…
Introduction Pediatric cervical spine trauma often presents after high-energy level 1 trauma, but it can also occur from sports or other lower energy injuries, particularly in a child with congenital or syndromic differences that might put them at risk. Cervical…
Introduction Finger and hand injuries are frequently encountered in children. Although lacerations and soft tissue injuries predominate, fractures represent 11.4% to 19.3% of pediatric hand injuries. In studies of pediatric fractures presenting to the emergency department, the hand is reported…
Introduction An approximation of a classic Sir John Charnley quote is: “It takes a curved cast to make a straight bone.” Nowhere is this more true that in the setting of fractures of the pediatric distal radius and ulna. However,…
Introduction Pediatric forearm fractures account for 6% to 18% of all pediatric fractures. Much debate exists regarding the most appropriate management of these injuries. Although a number of “acceptable” angulation and displacement parameters for pediatric forearm fractures have been proposed,…
Introduction Fractures of the medial condyle of the elbow in children are rare, even described as “once in a lifetime” for providers. They constitute approximately 1% of pediatric elbow injuries. Unlike the medial epicondyle avulsion fracture, this is an intra-articular…
Introduction Lateral condyle fractures of the distal humerus represent the second most common fracture about the elbow in children, with the first being the supracondylar humerus fracture. These fractures represent approximately 10% to 20% of pediatric upper extremity fractures and…