Extremity fractures in children: when is it an emergency?
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Updated: Aug 16, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Rachel DiFazio1, Carole C Atkinson
1Department of Orthopaedic Surgery, Childrens Hospital Boston, MA, USA. rachel.difazio@childrens.harvard.edu
Insights
Pediatric fractures often do not need emergency care. This article guides assessment and intervention for extremity fractures, highlighting the pediatric orthopaedic nurse practitioner
Area of Science:
- Orthopedic Surgery
- Pediatric Nursing
Background:
- Pediatric fractures are common injuries.
- Not all fractures necessitate immediate orthopedic intervention.
Observation:
- This article reviews essential information for managing pediatric extremity fractures.
- A case study illustrates a fracture requiring emergent orthopedic assessment and treatment.
Findings:
- Appropriate interventions can be provided following careful assessment.
- The pediatric orthopaedic nurse practitioner plays a key role in various care settings.
Implications:
- Optimizing non-emergent fracture care reduces healthcare burden.
- Standardized information improves patient and family education and outcomes.
Abstract:
Not all pediatric fractures require emergent orthopedic attention. The information needed to assess and provide the appropriate interventions to children and their families following an extremity fracture is discussed in this article. A case study is used to describe a fracture that requires emergent intervention. The role of the pediatric orthopaedic nurse practitioner in the emergency department, inpatient, and outpatient setting is also illustrated.
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