Joint Dislocations in the Pediatric Emergency Department - 24/03/16

Doi : 10.1016/j.cpem.2016.01.007

Neil Desai, MD ^*,^{^⁎} , Kerry S. Caperell, MD, MS ^†
^* Division of Pediatric Emergency Medicine, University of Colorado School of Medicine, and Children’s Hospital Colorado, Aurora, CO
^† Division of Pediatric Emergency Medicine, University of Louisville School of Medicine, and Kosair Children’s Hospital, Louisville, KY

^⁎Reprint requests and correspondence: Neil Desai, MD, Division of Pediatric Emergency Medicine, University of Colorado Denver School of Medicine, Children's Hospital Colorado, B251-13123 East 16th Ave, Aurora, CO 80045.Division of Pediatric Emergency Medicine, University of Colorado Denver School of Medicine, Children's Hospital ColoradoB251-13123 East 16th AveAuroraCO80045

Résumé

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.

Le texte complet de cet article est disponible en PDF.

Keywords : Orthopedics, Injury, pediatrics, shoulder dislocation, elbow dislocation, hip dislocation, knee dislocation, patella dislocation