High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients.

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  • Author(s): Galos, David; Doering, Travis A.
  • Source:
    Journal of the American Academy of Orthopaedic Surgeons (J AM ACAD ORTHOP SURG), 5/1/2020; 28(9): 353-362. (10p)
  • Publication Type:
    journal article
  • Language:
    English
  • Additional Information
    • Affiliation:
      Department of Orthopaedic Surgery, East Meadow, NY
    • Abstract:
      Fractures of the pelvis and acetabulum, although uncommon in the pediatric cohort, represent a range of injuries with similarities to those seen in the adult cohort but with key differences that are important for the treating physician to be aware of to allow for systematic evaluation and management of these potentially life-threatening injuries. As the pediatric skeleton matures, changes in anatomy and physiology influence injury pattern, diagnosis, treatment, and complications. High-energy fractures of the pediatric pelvis are particularly concerning given the reported mortality rates ranging from 3.2% to 18%, with severe fracture patterns being associated with visceral injury in up to 60% of patients. The unique complexity of pediatric patients requires a multidisciplinary team to fully address their care. A systematic approach to the initial evaluation and diagnosis of pediatric patients with fractures of the acetabulum or pelvic ring aids in choosing between surgical and nonsurgical management of these fractures and avoiding complications unique to the maturing skeleton. We present such an approach to assist the practitioner who infrequently treats these uncommon injuries.
    • Journal Subset:
      Allied Health; Biomedical; USA
    • ISSN:
      1067-151X
    • MEDLINE Info:
      PMID: NLM31592796 NLM UID: 9417468
    • Publication Date:
      20200628
    • Publication Date:
      20200628
    • DOI:
      http://dx.doi.org/10.5435/JAAOS-D-19-00082
    • Accession Number:
      144253191
  • Citations
    • ABNT:
      GALOS, D.; DOERING, T. A. High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients. Journal of the American Academy of Orthopaedic Surgeons, [s. l.], v. 28, n. 9, p. 353–362, 2020. DOI 10.5435/JAAOS-D-19-00082. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144253191. Acesso em: 13 ago. 2020.
    • AMA:
      Galos D, Doering TA. High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients. Journal of the American Academy of Orthopaedic Surgeons. 2020;28(9):353-362. doi:10.5435/JAAOS-D-19-00082
    • APA:
      Galos, D., & Doering, T. A. (2020). High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients. Journal of the American Academy of Orthopaedic Surgeons, 28(9), 353–362. https://doi.org/10.5435/JAAOS-D-19-00082
    • Chicago/Turabian: Author-Date:
      Galos, David, and Travis A. Doering. 2020. “High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients.” Journal of the American Academy of Orthopaedic Surgeons 28 (9): 353–62. doi:10.5435/JAAOS-D-19-00082.
    • Harvard:
      Galos, D. and Doering, T. A. (2020) ‘High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients’, Journal of the American Academy of Orthopaedic Surgeons, 28(9), pp. 353–362. doi: 10.5435/JAAOS-D-19-00082.
    • Harvard: Australian:
      Galos, D & Doering, TA 2020, ‘High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients’, Journal of the American Academy of Orthopaedic Surgeons, vol. 28, no. 9, pp. 353–362, viewed 13 August 2020, .
    • MLA:
      Galos, David, and Travis A. Doering. “High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients.” Journal of the American Academy of Orthopaedic Surgeons, vol. 28, no. 9, May 2020, pp. 353–362. EBSCOhost, doi:10.5435/JAAOS-D-19-00082.
    • Chicago/Turabian: Humanities:
      Galos, David, and Travis A. Doering. “High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients.” Journal of the American Academy of Orthopaedic Surgeons 28, no. 9 (May 2020): 353–62. doi:10.5435/JAAOS-D-19-00082.
    • Vancouver/ICMJE:
      Galos D, Doering TA. High-Energy Fractures of the Pelvis and Acetabulum in Pediatric Patients. Journal of the American Academy of Orthopaedic Surgeons [Internet]. 2020 May [cited 2020 Aug 13];28(9):353–62. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144253191