Pediatric Knee Dislocations and Physeal Fractures About the Knee

被引:19
作者
Mayer, Stephanie [1 ]
Albright, Jay C. [1 ]
Stoneback, Jason W. [1 ]
机构
[1] Childrens Hosp Colorado, Inst Orthoped, Aurora, CO 80045 USA
关键词
PROXIMAL TIBIAL EPIPHYSIS; DISTAL FEMORAL PHYSIS; POPLITEAL ARTERY; VASCULAR INJURIES; III FRACTURES; GROWTH-PLATE; FEMUR; ARTERIOGRAPHY; METAANALYSIS; ADOLESCENT;
D O I
10.5435/JAAOS-D-14-00242
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Given the high incidence of vascular and neurologic injury associated with pediatric knee dislocations and displaced physeal injuries about the knee, a thorough understanding of the clinical and radiographic signs associated with these injuries, relevant anatomy, workup, reduction techniques, and surgical management is crucial. A higher incidence of these injuries in children is anticipated because of increased participation in high-energy activities that result in contact or collision during sports or recreation. Complications, such as vascular and nerve injuries and compartment syndrome, can be diagnosed early in the workup to prevent catastrophic outcomes. The clinical examination should include evaluation of the motor and sensory status of the limb, palpation of pulses, and measurement of ankle brachial indices. Radiographic examination should include plain radiography and supplemental advanced imaging, if indicated. Vascular imaging or expert consultation should be considered when the pulse or ankle brachial index is abnormal on clinical examination. Selection of nonsurgical or surgical treatment depends on the fracture pattern and stability.
引用
收藏
页码:571 / 580
页数:10
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