Pediatric emergency medicine trisk 3499 3499
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (118.91 KB, 1 trang )
Skeletally immature children and adolescents are at higher risk for
epiphyseal or physeal fractures around the knee; therefore,
radiographs are recommended for evaluation of possible fracture after
a knee injury (Fig. 111.40 ).
Adolescents and teenagers more commonly sustain ligamentous
injuries that may be associated with avulsion fractures.
With distal femoral epiphyseal fractures, adequate analgesia is
important to decrease muscle spasm, protecting the physis from further
damage.
Distal femoral epiphyseal fractures can be complicated by compartment
syndrome or direct compression to vascular and nerve structures
around the knee.
Popliteal vessel or peroneal nerve injury can occur with distal femoral
epiphyseal or proximal tibial epiphyseal fractures.
FIGURE 111.39 Use of a traction splint to stabilize femoral fractures is strongly recommended.
Both adult and pediatric sizes are available.
