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Updated: Jun 29, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Broken bones: common pediatric lower extremity fractures--Part III
Erin S Hart1, Brenda Luther, Brian E Grottkau
1Massachusetts General Hospital for Children, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, Boston, MA, USA.
Insights
This article discusses pediatric lower extremity fractures, emphasizing nurses
Area of Science:
- Pediatric Orthopedics
- Pediatric Nursing
- Musculoskeletal Trauma
Background:
- Lower extremity fractures are common in children and adolescents.
- Nurses play a crucial role in initial assessment and care of pediatric fractures.
- Understanding pediatric bone growth and fracture patterns is essential for effective nursing care.
Purpose of the Study:
- To provide nurses and nurse practitioners with comprehensive knowledge on pediatric lower extremity fractures.
- To review common injury mechanisms, fracture patterns, and management strategies.
- To equip healthcare providers with educational tools for families regarding pediatric fracture care.
Main Methods:
- Review of current literature on pediatric lower extremity fractures.
- Discussion of nonoperative (closed reduction, casting) and operative management techniques.
- Identification of key teaching points for parents and families.
Main Results:
- Many pediatric lower extremity fractures are managed nonoperatively.
- Certain fracture types necessitate surgical intervention for anatomical reduction.
- Effective patient and family education is vital for optimal outcomes.
Conclusions:
- Nurses require specialized knowledge of pediatric bone development and fracture management.
- A combination of nonoperative and operative approaches is used for pediatric lower extremity fractures.
- Empowering nurses with educational strategies enhances family-centered care for pediatric fracture patients.
Abstract:
Lower extremity injuries and fractures occur frequently in young children and adolescents. Nurses are often one of the first healthcare providers to assess a child with an injury or fracture. Although basic fracture care and principles can be applied, nurses caring for these young patients must have a good understanding of normal bone growth and development as well as common mechanisms of injury and fracture patterns seen in children. Similar to many of the injuries in the upper extremity, fractures in the lower extremity in children often can be treated nonoperatively with closed reduction and casting. However, this article will also review several lower extremity fractures that frequently require surgical intervention to obtain a precise anatomical reduction. Common mechanisms of injury, fracture patterns, and current management techniques will be discussed. Teaching strategies and guidelines that will enable nurses and nurse practitioners to confidently educate parents, families, and other providers caring for these young patients will be reviewed.
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