Emergency department evaluation and treatment of pediatric orthopedic injuries

Authors

Matthew D. Thornton, Department of Emergency Medicine, Bay State Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA.
Karen Della-Giustina, Department of Emergency Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610, USA. Electronic address: karendg@me.com.
Paul L. Aronson, Department of Pediatric Emergency Medicine, Yale New Haven Childrens Hospital, 100 York Street, Suite 1F, New Haven, CT 06511, USA.

Document Type

Article

Publication Title

Emergency medicine clinics of North America

Abstract

Orthopedic injuries in children are unique when compared to those of adults because of the physiologic differences, especially the growth plates, stronger periosteum, and dynamic state of growth. The approach to the orthopedically injured child requires a gentle yet thorough focus with consideration of the growth plates as a primary area of weakness and growth when the child sustains an injury. Understanding the developmental stages of bones is paramount to being able to manage any injuries. Finally, what appears to be a benign injury may portend more serious issues, because nonaccidental trauma must always be considered in the evaluation of the injured child.

First Page

423

Last Page

49

DOI

10.1016/j.emc.2014.12.012

Publication Date

5-1-2015

Recommended Citation

Thornton, Matthew D.; Della-Giustina, Karen; and Aronson, Paul L., "Emergency department evaluation and treatment of pediatric orthopedic injuries" (2015). All Research. 295.
https://scholar.bridgeporthospital.org/all_research/295

Identifier

25892730 (pubmed); 10.1016/j.emc.2014.12.012 (doi); S0733-8627(14)00137-0 (pii)