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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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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...
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Flail Chest-II01:26

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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.
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Bone Disorders01:29

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
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Related Experiment Video

Updated: Apr 6, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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The Child with Multiple Fractures, What Next?

Jennifer Harrington1, Etienne Sochett1

  • 1Division of Endocrinology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G1X8, Canada.

Pediatric Clinics of North America
|July 27, 2015
PubMed
Summary
This summary is machine-generated.

Identifying childhood fractures requires evaluating bone fragility. Children with multiple fractures or those not linked to mild trauma need prompt investigation for underlying causes.

Keywords:
Bone mineral densityChildrenFracturesOsteogenesis imperfectaOsteoporosis

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Endocrinology
  • Pediatric Rheumatology

Background:

  • Childhood fractures are common but can indicate underlying bone fragility.
  • Distinguishing traumatic fractures from those due to fragility is crucial for appropriate management.
  • Early identification of bone fragility prevents further fractures and complications.

Purpose of the Study:

  • To outline an approach for evaluating children with fractures to identify underlying bone fragility.
  • To guide clinicians in determining which children require further investigation beyond initial assessment.
  • To inform decisions regarding specialist referral and potential pharmacologic interventions.

Main Methods:

  • Review of clinical presentation, fracture patterns, and age-appropriateness of trauma.
  • Initial evaluation includes history, physical examination, biochemistry, and spinal radiography.
  • Consideration for specialist evaluation and pharmacologic treatment in cases of significant bone fragility.

Main Results:

  • Multiple fractures not associated with mild trauma or higher-than-expected fracture counts warrant initial evaluation.
  • Bone pain or clear evidence of significant bone fragility necessitates specialist assessment.
  • A systematic approach aids in identifying children with secondary causes of fractures.

Conclusions:

  • Fracture evaluation in children should include assessment for bone fragility.
  • Prompt investigation is essential for children presenting with concerning fracture patterns.
  • Timely specialist referral and treatment can mitigate long-term consequences of bone fragility.