Chapter

Musculoskeletal injuries in children

Tim Theologis

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.014001

Series: Oxford Textbooks

Musculoskeletal injuries in children

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In children, bone is more flexible and heals faster than in adults but is at risk of growth disturbance. It is also capable of remodelling

The physis is weaker than the structures around it and therefore is liable to disruption in trauma

The possibility of injuries as a result of abuse must be considered in children and have a characteristic pattern

In poly trauma, children are more susceptible to hypothermia. Abdominal viscera and the cranium are more vulnerable. However, the central nervous system has more scope for recovery, and the cardiovascular system has an excellent capacity for coping with hypovolaemic shock

A reliable specific paediatric score should be used to plan treatment

The management of fractures is more likely to involve traction, plaster, and K-wires.

Chapter.  8511 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Paediatrics

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