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JOINT INJURIES IN
CHILDREN
Oleh: Made Dwi Pratiwi (I11111031)
Pembimbing: dr. Oktavianus, Sp.OT (K)
Spine
Fakultas Kedokteran Universitas Tanjungpura
RSAU DR. M. SOETOMO- PONTIANAK
2015
2)
Stronger
and
more
active
periosteum
The stronger periosteum in children is
less readily torn across at the time of a
fracture; consequently there is more
often an intact periosteal hinge that
can be used during closed reduction of
the
fracture.
Furthermore,
the
periosteum is much more osteogenic
in children than it is in adults.
Angulation
6. Differences in
Complications
Salter-harris Classification of
Epiphyseal Plate injuries
The classification
is based on the
mechanism of
injury as well as
the relationship of
the fracture line to
the growing cells
of the epiphyseal
plate
Type of injury
Age of the child
Blood supply to the epiphysis
Method of reduction
Open or closed injury
Velocity and force of the injury
are
Birth Fractures
During the difficult delivery of a large
baby,
especially
a
breech
presentation, when the threat of fetal
anoxia
may
necessitate
rapid
extraction of the baby, one limb may
be difficult ti disengage from the
birth canal and a bone may be
inadvertently
fractured
or
an
epiphysis separated.
Femur
Spine
Fortunately, birth injuries of the spine are
rare. But they are extremely serious because
they may be complicated by complete
paraplegia
Complete fractures
Posterior
dislocation of the
elbow joint occurs
relatively
frequently in
young children as
a result of a fall
on the hand with
the elbow flexed.
Medial epicondyle