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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Changes in the Appendicular Skeleton with Age01:09

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The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
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Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...

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Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation
11:21

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Pediatric scaphoid fractures.

Adam W Anz1, Brandon D Bushnell, Donald K Bynum

  • 1Department of Orthopaedic Surgery, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Box 1070, Winston-Salem, NC 27157-1070, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|February 10, 2009
PubMed
Summary
This summary is machine-generated.

Pediatric scaphoid fractures are difficult to diagnose and manage. While most heal with casting, complex cases and nonunions require further consideration, potentially including surgery.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Hand surgery

Background:

  • Carpal scaphoid fractures in immature patients present diagnostic and management challenges.
  • Delayed diagnosis is common due to subtle or absent symptoms.
  • Most pediatric scaphoid fractures are managed successfully with cast immobilization.

Purpose of the Study:

  • To review the challenges in diagnosing and managing immature carpal scaphoid fractures.
  • To discuss treatment options for pediatric scaphoid nonunions.
  • To provide guidance on surgical intervention for specific pediatric scaphoid fracture cases.

Main Methods:

  • Literature review of pediatric scaphoid fractures and nonunions.
  • Analysis of diagnostic challenges and treatment outcomes.
  • Discussion of surgical indications for complex cases.

Main Results:

  • Nonunion can occur despite appropriate treatment or due to delayed diagnosis.
  • The natural history of pediatric scaphoid nonunions is not well-defined, making treatment controversial.
  • Surgical intervention is indicated for displaced fractures near skeletal maturity or failed conservative treatment.

Conclusions:

  • Immature carpal scaphoid fractures require careful management to avoid complications like nonunion.
  • Established pediatric scaphoid nonunions present a complex treatment dilemma.
  • Surgical intervention should be considered in select cases of pediatric scaphoid fractures and nonunions.