Related Experiment Video

Updated: Apr 14, 2026

Maintenance of a Lateral Fluid Percussion Injury Device
05:16

Maintenance of a Lateral Fluid Percussion Injury Device

Published on: April 21, 2023

1.5K

Emergency department evaluation and treatment of pediatric orthopedic injuries

Matthew D Thornton1, Karen Della-Giustina2, Paul L Aronson3

  • 1Department of Emergency Medicine, Bay State Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA.

Emergency Medicine Clinics of North America
|April 21, 2015
PubMed

Insights

Pediatric orthopedic injuries differ from adult injuries due to unique physiology, particularly growth plates. Proper evaluation considers developmental stages and the possibility of nonaccidental trauma for accurate diagnosis and management.

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Traumatology
  • Pediatric Bone Development

Background:

  • Children's orthopedic injuries present unique challenges compared to adults.
  • Physiological differences, including growth plates and periosteum, influence injury patterns.
  • Understanding bone development is crucial for managing pediatric trauma.

Purpose of the Study:

  • To highlight the unique aspects of pediatric orthopedic injuries.
  • To emphasize the importance of considering growth plate physiology in injury management.
  • To underscore the need to evaluate for nonaccidental trauma in injured children.

Main Methods:

  • Review of pediatric orthopedic injury principles.
  • Emphasis on anatomical and physiological differences in children.
  • Consideration of developmental stages in bone assessment.

Main Results:

  • Pediatric orthopedic injuries require specialized approaches due to unique physiology.
  • Growth plates are critical areas of vulnerability and growth in pediatric injuries.
  • Benign-appearing injuries may indicate serious underlying issues, including nonaccidental trauma.

Conclusions:

  • Management of pediatric orthopedic injuries necessitates a thorough understanding of child physiology and development.
  • Growth plate assessment is paramount in evaluating and treating injured children.
  • Nonaccidental trauma must be a key consideration in the diagnostic process for all injured children.

Keywords:
FractureGrowth platePediatric orthopedicsPhysisSalter-Harris

More Related Videos

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.8K
An Investigation of the Effects of Sports-related Concussion in Youth Using Functional Magnetic Resonance Imaging and the Head Impact Telemetry System07:02

An Investigation of the Effects of Sports-related Concussion in Youth Using Functional Magnetic Resonance Imaging and the Head Impact Telemetry System

Published on: January 12, 2011

16.5K

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...
6.8K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
929
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
391
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
501
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
360