Pediatric Distal Femur Fracture
synonyms:
Pediatric Distal Femur Fracture ICD-9
Pediatric Distal Femur Fracture Etiology / Epidemiology / Natural History
- Generally result from direct trauma to the knee.
Pediatric Distal Femur Fracture Anatomy
- The distal femur is especially susceptible to growth arrest after physeal fracture because of the projections of the physis, called mamillary processes.
Pediatric Distal Femur Fracture Clinical Evaluation
- ATLS resuscitation. These can be high enegery injuries, assessment should begin with the A,B,C's.
- Obvious deformity of knee/thigh often with limb shortening
- Document neurovascular exam before and after any treatment.
Pediatric Distal Femur Fracture Xray / Diagnositc Tests
- A/P and lateral views of the knee.
- CT: consider for fractures with intraarticular extention.
Pediatric Distal Femur Fracture Classification / Treatment
- Generally Classified with Salter-Harris Classification
- Discuss high potential for growth disturbance / leg length discrepancy with parents before any treatment.
- Non-displaced: long leg cast with frequent follow-up to ensure maintenance of reduction.
- Displaced: CRPP vs ORIF.
Pediatric Distal Femur Fracture Associated Injuries / Differential Diagnosis
- Anterior cruciate ligament injury
- Posterior cruciate ligament injury
Pediatric Distal Femur Fracture Complications
Pediatric Distal Femur Fracture Follow-up Care
- Follow every 6-12 months until skeletal maturity to assess for growth disturbance
Pediatric Distal Femur Fracture Review References
- Rockwood and Greens
- Lombardo SJ, Harvey JP Jr: Fractures of the distal femoral epiphyses: Factors influencing prognosis. A review of thirty-four cases. J Bone Joint Surg 1977;59A:742-751.°
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