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Book Details
Abstract
Obtain the best outcomes from the latest techniques with help from a "who's who" of pediatric orthopaedic trauma experts! This companion to Browner et al.: Skeletal Trauma, 4th Edition presents practical, focused guidance on managing traumatic musculoskeletal injuries in children and adolescents. It emphasizes the unique aspects of children's fractures in terms of epidemiology, mechanisms, management, and the challenges of treating the skeletally immature patient. State-of-the-art coverage explores growth and development, pathology, complications, child abuse, sports medicine...and almost every possible break from head to toe. A new chapter on sports-related trauma helps you to manage these increasingly prevalent injuries. And, a new, full-color page layout makes it easier to locate the answers you need quickly.
- Complete, absolutely current coverage of relevant anatomy and biomechanics • mechanisms of injury • diagnostic approaches • treatment options • and associated complications equip you to confidently approach every form of pediatric musculoskeletal trauma.
- Internationally recognized contributors include pediatric orthopaedists with trauma expertise as well as specialists in orthopaedic traumatology, providing expert guidance from the most trusted authorities in pediatric musculoskeletal trauma care.
- A unique emphasis on outcomes assessment in children’s fractures helps you make the most valid clinical decisions.
- Over 800 high-quality line drawings, diagnostic images, and full-color clinical photos show you what to look for and how to proceed.
- An emphasis on problem-focused clinical judgment and state-of-the art treatment options assists you in making the best use of the newest techniques.
- A new chapter on sports-related musculoskeletal injuries in children and adolescents helps you to manage the growing incidence of trauma resulting from recreational and team sports injuries.
- An all-new, more user-friendly full-color text design enables you to find answers more quickly, and more efficiently review the key steps of each operative technique.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Skeletal Trauma in Children | iii | ||
Copyright Page | iv | ||
Dedication Page | v | ||
Contributors | vii | ||
Preface to the First Edition | xi | ||
Preface to the Fourth Edition | xiii | ||
Acknowledgments | xv | ||
Contents | xvii | ||
Chapter 1: Skeletal Growth, Development, and Healing as Related to Pediatric Trauma | 1 | ||
History, Diagnosis, and Injury Mechanisms | 1 | ||
Formation of Bone | 3 | ||
Regulation of Growth and Development | 4 | ||
Biology of Fracture Healing | 5 | ||
Physeal Fracture Healing | 7 | ||
Differences Between Pediatric and Adult Fracture Healing | 7 | ||
Classification of Children's Fractures | 12 | ||
Summary | 16 | ||
References | 16 | ||
Chapter 2: Physeal Injuries | 19 | ||
Relevant Basic Science | 19 | ||
Epidemiology | 20 | ||
Mechanism of Injury | 20 | ||
Classification | 21 | ||
Diagnosis | 23 | ||
Treatment | 24 | ||
Characteristics of Commonly Injured Physes | 28 | ||
Other Mechanisms of Physeal Injury | 28 | ||
Treatment of Complications | 32 | ||
Growth Arrest | 32 | ||
Apophyseal Injuries | 37 | ||
References | 39 | ||
Chapter 3: Pathologic Fractures in Children | 41 | ||
Bone Physiology | 41 | ||
Outcome Triangle | 42 | ||
Conclusion | 55 | ||
References | 55 | ||
Chapter 4: The Multiply Injured Child | 57 | ||
Pathology | 57 | ||
Anatomic Differences | 57 | ||
Biomechanical Differences | 58 | ||
Physiologic Differences | 59 | ||
Incidence | 59 | ||
Mechanism of Injury | 59 | ||
Associated Injuries | 60 | ||
Trauma Scoring Systems | 62 | ||
Consequences of Injury | 64 | ||
Trauma Evaluation and Management | 65 | ||
Fracture Management of a Multiply Injured Child\r | 74 | ||
Rehabilitation | 79 | ||
References | 81 | ||
Chapter 5: Fractures with Soft Tissue Injuries | 85 | ||
Characteristics | 85 | ||
Classification | 85 | ||
Treatment Plan | 86 | ||
Amputation | 91 | ||
Achieving Bone Union | 94 | ||
Fracture Fixation | 94 | ||
References | 104 | ||
Chapter 6: Complications of Fractures in Children | 107 | ||
Vascular Injuries | 107 | ||
Compartment Syndromes | 110 | ||
Fat Embolism | 111 | ||
Hypercalcemia of Immobilization | 112 | ||
Ectopic Bone Formation | 112 | ||
Superior Mesenteric Artery Syndrome (Cast Syndrome) | 113 | ||
TRACTION-Induced Hypertension | 114 | ||
Spontaneous Deep Vein Thrombosis | 114 | ||
Malunion | 114 | ||
Synostosis (Cross Union) | 118 | ||
Late Angulation | 119 | ||
Injury To the Triradiate Cartilage | 120 | ||
Fractures of the Femoral Shaft: The Overgrowth Phenomenon | 120 | ||
Growth Disturbances | 121 | ||
Nonunion | 126 | ||
Refracture | 128 | ||
Ligamentous Instability | 129 | ||
Nerve Injuries | 130 | ||
Reflex Sympathetic Dystrophy | 132 | ||
References | 133 | ||
Chapter 7: Outcomes Assessment in Children with Fractures | 143 | ||
Approaches to Evaluation of Treatment in Pediatric Orthopaedics | 143 | ||
Existing Pediatric Outcomes Measures | 145 | ||
Methodologic Difficulties of Measuring Function in Children | 152 | ||
References | 153 | ||
Chapter 8: Fractures and Dislocations of the Forearm, Wrist, and Hand | 159 | ||
Mechanism | 159 | ||
Forearm | 167 | ||
Specific Injuries | 177 | ||
Hand Fractures | 191 | ||
Acknowledgments | 197 | ||
References | 197 | ||
Chapter 9: Fractures and Dislocations About the Elbow | 207 | ||
Distal Humeral Fracture | 207 | ||
Supracondylar Fracture | 210 | ||
Extension-Type Supracondylar Fracture | 214 | ||
Fracture-Separation of the Distal Humeral Physis | 237 | ||
Fracture of the Lateral Condyle of the Humerus | 242 | ||
Fracture of the Capitellum in Adolescents | 250 | ||
Fracture of the Medial Condyle of the Humerus | 250 | ||
Fracture of the Medial Epicondyle | 255 | ||
Fracture of the Lateral Epicondyle | 257 | ||
T-Condylar Fracture | 257 | ||
Floating Elbow | 257 | ||
Proximal Radial Fracture | 257 | ||
Olecranon Fracture | 263 | ||
Dislocation of the Elbow Joint | 265 | ||
Radial Head Dislocation | 272 | ||
Subluxation of the Radial Head | 274 | ||
References | 276 | ||
Chapter 10: Fractures and Dislocations About the Shoulder | 283 | ||
Clavicle | 283 | ||
Medial Clavicular Fractures and Pseudosternoclavicular Joint Dislocations | 283 | ||
Acromioclavicular Joint Injury | 288 | ||
Scapula | 289 | ||
Glenohumeral Joint Dislocation | 292 | ||
Proximal Humeral Fractures | 296 | ||
Humeral Shaft Fractures | 300 | ||
References | 307 | ||
Chapter 11: Fractures of the Spine | 313 | ||
Developmental Anatomy | 313 | ||
Relevant Anatomy | 313 | ||
Incidence | 315 | ||
Diagnosis | 316 | ||
Radiology of the Spine | 320 | ||
Spinal Cord Injury in Children | 327 | ||
References | 348 | ||
Chapter 12: Fractures and Dislocations about the Hip and Pelvis\r | 355 | ||
Pelvic Fractures and Dislocations | 355 | ||
Proximal Femoral Fractures | 374 | ||
Hip Dislocations | 385 | ||
References | 391 | ||
Chapter 13: Fractures of the Femoral Shaft | 397 | ||
Anatomy and Development | 397 | ||
Demographics and Causes of Injury | 397 | ||
Diagnosis | 399 | ||
Classification | 401 | ||
Decision Making | 401 | ||
Treatment Alternatives | 404 | ||
Complications and Unexpected Outcomes | 415 | ||
Complications Specific to Treatments | 416 | ||
References | 421 | ||
Chapter 14: Fractures and Dislocations About the Knee | 425 | ||
Distal Femoral Metaphyseal and Physeal Fractures | 425 | ||
Osteochondral Fractures | 439 | ||
Fractures of the Patella | 442 | ||
Tibial Spine Fracture | 444 | ||
Tibial Tubercle Fracture | 449 | ||
Proximal Tibial Metaphyseal and Physeal Fractures\r | 452 | ||
Proximal Fibular Metaphyseal and Physeal Fractures\r | 460 | ||
Open Fractures in the Knee Region | 460 | ||
Patellar Dislocation | 461 | ||
Dislocation of the Knee | 464 | ||
References | 464 | ||
Chapter 15: Fractures of the Tibia and Fibula | 471 | ||
Pathology | 471 | ||
Diagnosis | 472 | ||
Management | 473 | ||
References | 503 | ||
Chapter 16: Fractures and Dislocations of the Foot and Ankle | 507 | ||
The Ankle | 507 | ||
The Foot | 531 | ||
Complications of Injuries to the Distal Tibial and Fibular Growth Plates | 573 | ||
Aphorisms for Ankle and Foot Injuries | 578 | ||
References | 579 | ||
Chapter 17: Nonaccidental Trauma | 585 | ||
Legal Aspects | 585 | ||
Historical Perspective | 585 | ||
Forms of Abuse and Neglect | 585 | ||
Physical Abuse | 586 | ||
Specific Fractures | 594 | ||
Conclusion | 603 | ||
References | 603 | ||
Chapter 18: Anesthesia and Analgesia for the Ambulatory Management of Children’s Fractures | 609 | ||
Introduction | 609 | ||
Principles of Pain Management in Children | 609 | ||
Anesthetic Techniques | 610 | ||
Sedation | 616 | ||
Summary | 620 | ||
References | 620 | ||
Chapter 19: Rehabilitation of the Child with Multiple Injuries | 623 | ||
Pediatric Polytrauma | 623 | ||
Inpatient Rehabilitation | 623 | ||
Rehabilitation of Fractures | 623 | ||
Peripheral Nerve Injury and Electrodiagnosis\r | 626 | ||
Spinal Cord Injury | 627 | ||
Traumatic Brain Injury | 628 | ||
Prevention of Reinjury | 633 | ||
Phychosocial Factors | 633 | ||
References | 634 | ||
Chapter 20: Skeletal Trauma in Young Athletes | 639 | ||
Epidemiology of Youth Sports | 639 | ||
Influence of Gender | 639 | ||
Anatomy of the Skeletally Immature Joint and Ligaments | 639 | ||
Principles of Examination and Treatment of the Pediatric and Adolescent Patient | 641 | ||
Diagnostic Imaging | 641 | ||
Sport Injuries to the Upper Extremity | 641 | ||
Back Pain in Athletes | 647 | ||
Pelvis and Hip Injuries | 650 | ||
Knee Problems | 650 | ||
Patellar Dislocations | 659 | ||
Foot and Ankle Problems | 665 | ||
Fractures | 670 | ||
References | 677 | ||
Index | 693 |