Joint Dislocations in the Pediatric Emergency Department

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• 作者：Neil Desai ; MD^* ; ^{neil.desai@childrenscolorado.org" class="auth_mail" title="E-mail the corresponding author} ; Kerry S. Caperell ; MD ; MS^&dagger ;
• 关键词：Orthopedics ; Injury ; pediatrics ; shoulder dislocation ; elbow dislocation ; hip dislocation ; knee dislocation ; patella dislocation
• 刊名：Clinical Pediatric Emergency Medicine
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：17
• 期：1
• 页码：53-66
• 全文大小：1176 K

文摘

Joint dislocations occur in the pediatric population and frequently present to the emergency department. Varying degrees of skeletal maturity and the differences of each individual joint mean that management of dislocations requires a unique set of skills. A thorough understanding of classification systems and anatomy is necessary for effective communication with orthopedic consultants as well as in avoiding pitfalls. Knowledge of the likely mechanisms of injury involved can aid in a targeted evaluation and correct diagnosis. Emergency department management, follow-up, and potential complications are all important for the emergency care provider to effectively treat these injuries. Dislocations of the shoulder, elbow, hip, knee, and patella are among the most commonly encountered injuries in children and are reviewed here.