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Injury Patterns and Diagnostics

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Pediatric Skeletal Trauma

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Abstract

Pediatric fractures are characterized by epiphyseal plate involvement and other features of the developing skeleton. The classification of epiphyseal injuries and fractures will be presented in detail. Epiphyseal separations must be distinguished from epiphyseal fractures involving the articular cartilage. Transitional fractures with articular involvement appear as plates begin to fuse during adolescence. Patterns of injury must be closely evaluated in cases of dislocation and fracture-dislocation. Radiological signs and characteristics are discussed, and diagnostic approaches are presented, for which familiarity with the life cycle of ossification centers and growth plates is crucial. The AO Classification of Pediatric Long Bone Fractures is presented. For specific regions of injury, the anatomical classifications can be found in the corresponding individual chapters.

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Recommended Literature

  • Ackermann O (2015 Jul 7) Bone fracture ultrasound. 2015:1–17

    Google Scholar 

  • Bohndorf K, Imhof H (1998) Radiologische Diagnostik der Knochen und Gelenke. Thieme, Stuttgart

    Google Scholar 

  • Colonna PC (1928) Fracture of the neck of the femur in childhood. A report of six cases. Ann Surg 88:902

    Article  CAS  Google Scholar 

  • Greenspan A (1990) Skelettradiologie: Orthopädie, Traumatologie, Rheumatologie, Onkologie. VCH, Weinheim

    Google Scholar 

  • Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development on the hand and wrist. University Press, Stanford

    Book  Google Scholar 

  • Heuck F, Bast BRG (1994) Radiologische Skizzen und Tabellen. Peripheres Skelett. Thieme, Stuttgart

    Google Scholar 

  • Keats TE (1992) Normvarianten im Röntgenbild: Befunde ohne Krankheitswert. Ullstein Mosby, Berlin

    Google Scholar 

  • Köhler A, Zimmer EA (1989) Grenzen des Normalen und Anfänge des Pathologischen im Röntgenbild des Skeletts. Thieme, Stuttgart

    Google Scholar 

  • Moritz JD, Hoffmann B, Sehr DH, Eggerking J, Keil K, Caliebe A, Dischinger J, Heller M, Bolte H (2012) Pediatric fracture diagnosis – ultra-low-dose CT with an effective dose equal to that of radiographs. Rö Fo 184(11):1026–1033

    CAS  Google Scholar 

  • Müller ME, Allgöwer M, Schneider R, Willenegger H (1991) Manual of internal fixation, 3rd edn. Springer, Heidelberg

    Book  Google Scholar 

  • Nau C, Marzi I, Ziebarth K, Berger S (2015) Fractures in children and adolescents. In: Rommens PM, Hessmann MH (eds) Intramedullary nailing. Springer, Heidelberg

    Google Scholar 

  • Norell HG (1954) Roentgenologic visualization of the extracapsular fat. Acta Radiol 42:205–210

    Article  CAS  Google Scholar 

  • Ogden JA (2000) Skeletal injury in the child. Springer, New York

    Google Scholar 

  • Slongo T, Audigé L, Schlickewei W, Clavert J-M, Hunter J (2006 Jan) International Association for Pediatric Traumatology. Development and validation of the AO pediatric comprehensive classification of long bone fractures by the Pediatric Expert Group of the AO Foundation in collaboration with AO Clinical Investigation and Documentation and the International Association for Pediatric Traumatology. J Pediatr Orthop. 26(1):43–49

    Article  Google Scholar 

  • Sommerfeldt DW, Dietz HG (2011a) Pediatric and adolescent traumatology - lower extremities. Unfallchirurg 114(5):380

    Article  CAS  Google Scholar 

  • Sommerfeldt DW, Dietz HG (2011b) Pediatric and adolescent traumatology - upper extremity. Unfallchirurg 114(4):284

    Article  CAS  Google Scholar 

  • Stöver PDB, Rogalla P (2008) CT-Untersuchungen bei Kindern. Radiologe 48(3):243–248

    Article  Google Scholar 

  • Strohm PC, Uhl M, Hauschild O, Stankovic Z, Reising KJ, Lesniak M, Südkamp NP (2008) Welchen Stellenwert hat das Ganzkörper-Spiral-CT in der Primärdiagnostik polytraumatisierter Kinder? Z Orthop Unfall 146(01):38–43

    Article  CAS  Google Scholar 

  • von Laer L, Gruber R, Dallek M, Dietz HG, Kurz W, Linhart W, Marzi I, Schmittenbecher P, Slongo T, Einberg A, Wessel L (2000) Classification and documentation of children’s fractures. Eur J Trauma 1:2–14

    Article  Google Scholar 

  • von Laer L, Kraus R, Linhart W (2012) Frakturen und Luxationen im Wachstumsalter, 6th edn. Thieme, Stuttgart

    Google Scholar 

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Authors and Affiliations

  1. Department of Trauma Hand & Reconstructive Surgery, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany

    Ingo Marzi & Johannes Frank

  2. University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany

    Stefan Rose

Authors
  1. Ingo Marzi
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  2. Johannes Frank
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  3. Stefan Rose
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Correspondence to Ingo Marzi .

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Marzi, I., Frank, J., Rose, S. (2022). Injury Patterns and Diagnostics. In: Pediatric Skeletal Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-93685-3_2

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  • DOI: https://doi.org/10.1007/978-3-030-93685-3_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-93683-9

  • Online ISBN: 978-3-030-93685-3

  • eBook Packages: MedicineMedicine (R0)

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