Fracture involves the distal 15 cm of the femur.
Fractures may be:
Supracondylar: Zone is from the femoral condyles to the junction of the metaphysis and femoral shaft.
Cartilaginous components of the proximal and distal ends of the developing femur alter the fracture patterns seen in hip and knee injuries in children.
Assess markers for nonaccidental trauma:
Delay in presentation; history of mechanism inconsistent with the injury
Isolated trauma to the thigh; associated burns, bruise...
Depends on multiple factors:
Fracture with intra-articular involvement carries a high risk of posttraumatic arthritis.
Macnicol MF. Fracture of the femur in children. J Bone Joint Surg Br. 1997;79(6):891–892.
Starr AJ, Hunt JL, Reinert CM. Treatment of femur fracture with associated vascular in...
Be aware of potential associated injuries in all femur fractures.
Fractures of the distal femur are severe, and medical management and treatment are difficult.
Evaluate for signs of chil...
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