Show Summary Details
Preview
♦ After
forearm and digital injuries, tibial and ankle fractures are the
commonest fractures in the immature skeleton and the majority of
these involve the diaphysis or ankle
♦
Compared to the morbidity seen in adults these are relatively
forgiving injuries in children as the healing rate of bone and soft
tissues is rapid and remodelling will occur
♦ It is
wise, however, to guard against overconfidence in the remodelling
potential of certain injuries; for example, angulated mid-diaphyseal
fractures, rotational malalignment, and metaphyseal fractures within
2 years of skeletal maturity
♦null...
♦ After
forearm and digital injuries, tibial and ankle fractures are the
commonest fractures in the immature skeleton and the majority of
these involve the diaphysis or ankle
♦
Compared to the morbidity seen in adults these are relatively
forgiving injuries in children as the healing rate of bone and soft
tissues is rapid and remodelling will occur
♦ It is
wise, however, to guard against overconfidence in the remodelling
potential of certain injuries; for example, angulated mid-diaphyseal
fractures, rotational malalignment, and metaphyseal fractures within
2 years of skeletal maturity
♦
Children will tolerate manipulative/cast treatment better than
adults as the duration of treatment is usually shorter and rapid
rehabilitation is almost the norm with or without physiotherapy
♦
Postfracture overgrowth does occur but is less than that following
femoral fractures and seldom clinically significant (over 10mm)
♦
Isolated fibular fractures are of minor importance but need to be
taken into account in managing complex injuries involving the distal
tibia
♦ It is
convenient to discuss injuries according to three anatomical
sections: proximal, diaphyseal, and distal.
Show More
Show Less
Chapter.
3828 words.
Illustrated.
Subjects:
Trauma and Orthopaedic Surgery
;
Paediatrics
Go to Oxford Medicine Online » abstract
Full text: subscription required
How to subscribe
Recommend to my Librarian
Buy this work at Oxford University Press »
Users without a subscription are not able to see the full content. Please,
subscribe
or login to access all content.