Abstract
The management of pediatric fracture care differs from that of adulthood in terms of anatomic variations. Due to high remodeling capacity, most of these fractures are treated conservatively. However, surgery would be necessary for particular types of fractures, especially in adolescent children. Some of the surgical indications include unstable fractures, open fractures, displaced epiphyseal fractures, and having multiple fractures. Both the surgical and the nonoperative treatments are not without complications. Parents should be informed about cast- and fracture-specific complications such as compartment syndrome, wound problems, growth disturbances, deformity, and restricted range of motion.
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Further Reading
Waters PM, Skaggs DL, Flynn JM, editors. Rockwood and Wilkins’ fractures in children. 9th ed. Philadelphia: Wolters Kluwer; 2020.
Longo UG, van der Linde JA, Loppini M, Coco V, Poolman RW, Denaro V. Surgical Versus Nonoperative Treatment in Patients Up to 18 Years Old With Traumatic Shoulder Instability: A Systematic Review and Quantitative Synthesis of the Literature. Arthroscopy. 2016;32(5):944–52.
Longo UG, Salvatore G, Ruzzini L, Risi Ambrogioni L, de Girolamo L, Viganò M, Facchini F, Cella E, Candela V, Ciccozzi M, Denaro V. Trends of anterior cruciate ligament reconstruction in children and young adolescents in Italy show a constant increase in the last 15 years. Knee Surg Sports Traumatol Arthrosc. 2021;29(6):1728–33.
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Uygur, M.E. (2023). Pediatric Trauma Diseases. In: Longo, U.G., Denaro, V. (eds) Textbook of Musculoskeletal Disorders. Springer, Cham. https://doi.org/10.1007/978-3-031-20987-1_20
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DOI: https://doi.org/10.1007/978-3-031-20987-1_20
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