Lien Jamie
Private Practice; Associate Physician, University of California San Diego, Rady Children’s Hospital, San Diego, CA
Pediatr Emerg Med Pract. 2017 Sep;14(9):1-28.
Upper and lower extremity injuries are common in children, with an overall risk of fracture estimated at just under 1 in 5 children. Pediatric bone anatomy and physiology produce age specific injury patterns and conditions that are unique to children, which can make accurate diagnosis difficult for emergency clinicians. This issue reviews the etiology and pathophysiology of child-specific fractures, as well as common injuries of the upper and lower extremities. Evidence-based recommendations for management of pediatric fractures, including appropriate diagnostic studies and treatment, are also discussed.
儿童上肢和下肢损伤很常见，据估计，每5名儿童中就有近1名儿童有骨折风险。儿童骨骼的解剖结构和生理机能会产生特定于儿童年龄的损伤模式和状况，这可能会给急诊临床医生的准确诊断带来困难。本期专题回顾了儿童特有的骨折的病因和病理生理学，以及上肢和下肢的常见损伤。还讨论了基于证据的儿童骨折管理建议，包括适当的诊断研究和治疗方法。
