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Fractures: Bone Repair

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...

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Comparing Single-Site Fractures with Multisite Injuries in Pediatric Skiers and Snowboarders.

Ruikang Kong Kong Liu¹, Michael Lieu², David R Howell³

¹Department of Family Medicine, LSU Health Shreveport, Shreveport, LA, USA.

Wilderness & Environmental Medicine

|June 11, 2025

Summary

Pediatric skiing and snowboarding fractures frequently affect the upper extremities. A high suspicion for head injuries, like concussions, is crucial following any fracture, especially with torso injuries.

Keywords:

fracture multiple fractures pediatric ski snowboard trauma

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Area of Science:

Orthopedics
Sports Medicine
Pediatric Trauma

Background:

Pediatric skiing and snowboarding are popular recreational activities.
Fracture injuries are common in pediatric snow sports.
Understanding injury patterns can improve patient assessment and care.

Purpose of the Study:

To analyze pediatric fracture injury patterns in skiing and snowboarding.
To compare single-site versus multi-site fractures in pediatric snow sport injuries.
To identify factors associated with more severe, multi-site injuries.

Main Methods:

Review of radiographs from 797 pediatric patients (ages 3-17) with fractures.
Analysis of injury locations and types.
Statistical analysis including logistic regression and chi-squared tests.

Main Results:

Upper extremity fractures were the most common primary injury (61%).
Head/neck injuries, particularly concussions, were the most common secondary injury.
Collisions and hospital transfer were linked to higher odds of multi-site fractures.

Conclusions:

Maintain high suspicion for head injuries (concussions) after any fracture.
Consider internal organ injuries with torso fractures.
Recognize that collisions and transfer to hospital may indicate more severe injuries.