Journal article
Hip fractures in children
Journal of the American Academy of Orthopaedic Surgeons, v 17(3)
01 Mar 2009
PMID: 19264709
Abstract
Hip fractures account for <1% of all pediatric fractures. Most are caused by high-energy mechanisms, but pathologic hip fractures also occur, usually from low-energy trauma. Complications occur at a high rate because the vascular and osseous anatomy of the child's proximal femur is vulnerable to injury. Surgical options vary based on the child's age, Delbet classification type, and degree of displacement. Anatomic reduction and surgical stabilization are indicated for most displaced hip fractures. Other options include smooth-wire or screw fixation, often supplemented by spica cast immobilization in younger children, or compression screw and side plate fixation. Achievement of fracture stability is more important than preservation of the proximal femoral physis. Capsular decompression after reduction and fixation may diminish the risk of osteonecrosis. Osteonecrosis, coxa vara, premature physeal closure of the proximal femur, and nonunion are complications that account for poor outcomes.
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Details
- Title
- Hip fractures in children
- Creators
- Matthew J Boardman - Philadelphia College of Osteopathic MedicineMartin J Herman - St. Christopher's Hospital for ChildrenBrian Buck - St. Christopher's Hospital for ChildrenPeter D Pizzutillo - St. Christopher's Hospital for Children
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, v 17(3)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Medical Humanities; Orthopedic/Orthopaedic Surgery
- Web of Science ID
- WOS:000263920700005
- Scopus ID
- 2-s2.0-62949219298
- Other Identifier
- 991020836459604721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery