Common basic classifications of child fractures

Czech version

Authors: T. Pešl; P. Havránek
Authors‘ workplace: Přednosta: prof. MUDr. Petr Havránek, CSc. ; 3. lékařská fakulta a FTNsP Praha ; Klinika dětské chirurgie a traumatologie ; Univerzita Karlova v Praze
Published in: Prakt. Lék. 2008; 88(10): 572-576
Category: Various Specialization

Overview

Pediatric skeletal injuries of extremities can be classified into three main types:

1. diaphyseal fracture,

2. metaphyseal fracture, and

3. physeal injury.

The classification system should describe the location and morphology of the fracture and provide therapeutic information. It should be simple, understandable, logical and clinically relevant for children. On the other hand, we should not overlook the fact that a major purpose of classification systems is in facilitating documentation and data comparison between clinical studies. We present several common classification schemes which are widely used for the description of pediatric skeletal trauma. The classification schemes for specific anatomic locations are not the topic of this report.

Key words:
fracture, physis, physeal injury, classification, child.

Sources

1. Canale, S. T. Physeal injuries. In: Green, N. E., Swiontkowski, M. F. (eds.) Skeletal trauma in children. Philadelphia: Saunders, 2003.

2. Havránek, P. Dětské zlomeniny. Praha: Corvus, 1992.

3. Havránek, P., Pešl, T., Vlček, P. Obtížně diagnostikovatelné zlomeniny rostoucího dětského skeletu. Prakt. lék. 2008, 88, 7, s. 398-407.

4. Jones, E.T. Skeletal growth and development as related to trauma. In: Green, N. E., Swiontkowski, M. F. (eds.) Skeletal trauma in children. Philadelphia: Saunders, 2003.

5. Ogden, J.A. Injury to the growth mechanisms of the immature skeleton. Skeletal Radiol. 1981, 6, p. 237-253.

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7. Salter, R.B., Harris, W.R. Injuries involving the epiphyseal plate. J. Bone. Joint. Surg. Am. 1963, 45, p. 587-622.

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9. Slongo, T., Audigé, L., Clavert, J-M., Lutz, N., Frick, S., Hunter, J. The AO comprehensive classification of pediatric long-bone fractures. A web-based multicenter agreement study. J. Pediatr. Orthop. 2007, 27, 2, p. 171-180.

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Article was published in

General Practitioner

2008 Issue 10

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