20% of pediatric patients with acute traumatic injuries will have a fracture
Boys have fractures more commonly than girls
Diaphysis: Physis to physis; bone shaft
Decreased limb movement, unwilling to use
Abnormal neurovascular status of extremity
Severe pain, especi...
Resuscitation for concurrent injuries
Management of life-threatening concurrent injuries
NAT (or per social services)
Potential neurovascular compromise/compartment syndrome:
Condylar or supracondylar humerus fracture
History is essential in evaluation of NAT
Undress patient fully especially if suspicion for NAT
Have a low threshold to splint and/or consult orthopedist
Pain control is essential and...
Boutis K. Common pediatric fractures treated with minimal intervention. Pediatr Emerg Care. 2010;26:152–157.
Chasm RM, Swencki SA. Pediatric orthopedic emergencies. Emerg Me...
803.00 Other closed skull fracture without mention of intracranial injury, unspecified state of consciousness
807.00 Closed fracture of rib(s), unspecified
829.0 Fracture of unspecified bone, ...
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