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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.

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Systematic reviews English (3) French All (3)

Systematic Review: Common pediatric fractures treated with minimal intervention

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Boutis, K

This article will review the evidence that recommends that management of some of the most common upper and lower pediatric extremity fractures be treated with minimal interventions, such as removable splints and follow-up with a primary care provider.

Systematic Review: Sedation and analgesia for pediatric fracture reduction in the emergency department: a systematic review

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Migita RT, Klein EJ, Garrison MM

This review assessed the safety and efficacy of various forms of analgesia and sedation for fracture reduction in pediatric patients in the emergency department, as observed in randomized controlled trials in pediatric populations.

Cochrane Systematic Review: Antibiotics for preventing infection in open limb fractures

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Gosselin, RA, Roberts, I, & Gillespie, WJ

Objective: To quantify the evidence for the effectiveness of antibiotics in the initial treatment of open fractures of the limbs.

Systematic Review: Common pediatric fractures treated with minimal intervention

Visit

Boutis, K

This article will review the evidence that recommends that management of some of the most common upper and lower pediatric extremity fractures be treated with minimal interventions, such as removable splints and follow-up with a primary care provider.

Systematic Review: Sedation and analgesia for pediatric fracture reduction in the emergency department: a systematic review

Visit

Migita RT, Klein EJ, Garrison MM

This review assessed the safety and efficacy of various forms of analgesia and sedation for fracture reduction in pediatric patients in the emergency department, as observed in randomized controlled trials in pediatric populations.

Cochrane Systematic Review: Antibiotics for preventing infection in open limb fractures

Visit

Gosselin, RA, Roberts, I, & Gillespie, WJ

Objective: To quantify the evidence for the effectiveness of antibiotics in the initial treatment of open fractures of the limbs.