Pediatric Orthopedic Trauma: An Evidence-Based Approach

Orthop Clin North Am. 2018 Apr;49(2):195-210. doi: 10.1016/j.ocl.2017.11.008. Epub 2017 Dec 14.

Abstract

The management of pediatric fractures has evolved over the past several decades, and many injuries that were previously being managed nonoperatively are now being treated surgically. The American Academy of Orthopaedic Surgeons has developed clinical guidelines to help guide decision making and streamline patient care for certain injuries, but many topics remain controversial. This article analyzes the evidence regarding management of 5 of the most common and controversial injuries in pediatric orthopedics today.

Keywords: Clavicle fracture; Evidence-based medicine; Femoral shaft fracture; Medial epicondyle fracture; Open fracture; Supracondylar humerus fracture.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Clavicle / injuries*
  • Evidence-Based Medicine
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / epidemiology*
  • Femoral Fractures / surgery
  • Fracture Dislocation / diagnostic imaging
  • Fracture Dislocation / epidemiology*
  • Fracture Dislocation / surgery
  • Fracture Fixation, Internal / methods
  • Fracture Healing / physiology
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / epidemiology*
  • Fractures, Bone / surgery
  • Fractures, Open / diagnosis
  • Fractures, Open / epidemiology
  • Fractures, Open / surgery*
  • Humans
  • Humeral Fractures / diagnostic imaging
  • Humeral Fractures / epidemiology*
  • Humeral Fractures / surgery
  • Incidence
  • Injury Severity Score
  • Male
  • Pediatrics
  • Recovery of Function
  • Risk Assessment
  • Sex Factors