Logo

Lower Extremity Fractures

Children break bones more easily than adults - so pediatric fractures are very common. There are several unique features of the pediatric musculoskeletal system that need to be considered in management decisions of all of these injuries - growth plates, plasticity, callus formation, remodeling potential, and partial breaks are some of the key ones. Recognition and appropriate management of pediatric fractures by ED providers is critical. While some common minor wrist and ankle fractures can be treated with a less conservative approach encouraging an early return to activities, other fractures if not treated properly can result in long term functional problems for the child and/or be a sign of child maltreatment.

BROWSE EVIDENCE REPOSITORY

 

Clinical guidelines

Clinical Practice Guideline: Paediatric fracture guidelines - Hip and proximal femur

Visit

Victorian Paediatric Orthopaedic Network

Summary and classification of hip and proximal femur fractures.

Clinical Practice Guideline: Paediatric fracture guidelines - Ankle (distal tibial and fibula physeal)

Visit

Victorian Paediatric Orthopaedic Network

Summary of distal tibia and-or fibula physeal fractures, ED management, and follow-up.

Clincial Practice Guideline: Paediatric fracture guidelines - Femoral shaft (diaphysis)

Visit

Victorian Paediatric Orthopaedic Network

Summary of femoral shaft fractures, ED management, and follow-up.

Clincial Practice Guideline: Paediatric fracture guidelines - Tibial shaft (diaphysis)

Visit

Victorian Paediatric Orthopaedic Network

Summary of tibial shaft fracture, ED management, and follow-up.

Clinical Practice Guideline: Treatment of Pediatric Diaphyseal Femur Fractures

Visit

Jevsevar DS & Shea K

This is an AAOS clinical guideline on the treatment of pediatric diaphyseal femur fractures (PDFF).

Clinical Practice Guideline: Apophyseal Avulsion Fractures of the Pelvis and Lower Extremity

Visit

Mckinney, B & Roth, C

This is an AAOS clinical guideline on the pathophysiology and etiology, classification, diagnosis, and management of apophyseal avulsion fractures of the Pelvis and lower extremity.

Clinical Practice Guideline: AAOS clinical practice guideline: the treatment of pediatric diaphyseal femur fractures

Visit

Kocher, MS, Sink, EL, Blasier, RD, Luhmann, SJ, Mehlman, CT, Scher, DM, Mathe...

This is a summary of the recommendations in the AAOS clinical practice guideline, The Treatment of Pediatric Diaphyseal Femur Fractures.

Clinical Practice Guideline: Tibial Shaft Fractures

Visit

Hoernschemeyer, DG, Khazzam, M & Hoffinger, SA

This is an AAOS clinical guideline on the pathophysiology and etiology, classification, diagnosis, and management of tibial shaft fractures.

Clincial Practice Guideline: Ankle Fractures in Adolescents

Visit

Rieger, KJ, Hyman, J & Vitale, M

This is an AAOS clinical guideline on the pathophysiology and etiology, classification, diagnosis, and management of ankle fractures in adolescents.