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The Journal of Bone and Joint Surgery 82:272-80 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Orthopaedic Treatment of Fractures of the Long Bones and Pelvis in Children Who Have Multiple Injuries*{dagger}

VERNON T. TOLO, M.D.{ddagger}, LOS ANGELES, CALIFORNIA

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


   Introduction
 
A large number of children who are admitted to the hospital after trauma have multiple injuries. Although most of the fractures associated with polytrauma are obvious, with deformity and swelling of the injured extremity, it is essential to examine all extremities and axial areas carefully in this setting. It has been suggested that technetium bone scans be used for young patients who have multiple injuries in order to diagnose all skeletal injuries16, but careful physical examination will usually suffice. The orthopaedic treatment of fractures in children who have multiple injuries is clearly affected by what other injuries the child has sustained. These injuries of other systems not only may change the timing of the orthopaedic care but also often alter the type of treatment chosen for the fracture.


   Special Factors in Children Who Have a Head Injury
 
Injury to the brain needs immediate attention and has a higher priority than fractures of the extremities of patients who have . . . [Full Text of this Article]


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