Fracture Healing In Children

Fracture Healing in Children is a review of pediatric osseous modeling and remodeling and is meant to serve as an aid for practitioners in discussion with parents regarding non-operative treatment for pediatric fractures. This book contains over 70 radiographs of fractures in children ranging from 0-18 years old demonstrating the great potential that children have to remodel osseous deformity over time with detailed examples of various bones throughout the body (clavicle, humerus, radius/ulna, femur, tibia/fibula etc). Designed to facilitate consultations with parents who seek reassurance that their child's displaced fracture will heal, Fracture Healing in Children is a visual aid and quick confidence-booster for worried parents. Thoughtfully assembled to significantly reduce consultation time and greatly increase patient confidence in the care team. When Erynn Krasovic began her career in pediatric orthopedics she found that she needed a tool to aid in discussions with anxious parents in regards to their child's fracture appearance and it's potential to remodel appropriately. To that end, she created an informal reference book "Fracture Remodeling" in 2017. David Bennett throughout his career has had a special research interest in the natural history of pediatric fractures and their remodeling potential. In collaboration, they identified a need for such a book in the pediatric orthopedic literature. This is also an educational book great for residents or medical students who wish to know more about the pathophysiology of fracture healing, pediatric anatomy, and physis anatomy/physiology. In addition, this will also serve as a useful reference book for pediatricians and other providers who would like to learn more about pediatric fractures.

Dr. Mercer Rang's classic text on children's fractures has been revised and updated by two eminent orthopedic surgeons from Children's Hospital—San Diego. Continuing Dr. Rang's tradition, Drs. Wenger and Pring provide a uniquely practical, readable overview of children's fractures, emphasizing diagnosis, treatment, common pitfalls, and communication with parents and other healthcare professionals. This edition features over 400 new illustrations. New chapters cover casts and epidemiology and prevention of fractures. Elbow injuries are covered in greater detail in two chapters. New information on imaging and new MRI scans have been added. This edition also has a more user-friendly two-color design.

"Anyone who works with troubled children and their families should not miss this book. Healing the Fractured Child weaves together comprehensive theory and neurobiology that substantiate practical treatment guidelines for children and their families. The complexity of symptoms, diagnoses, assessment, use of medication, and a variety of innovative treatment approaches for stabilization, trauma processing and integration are explored and come to life through the clear, practical and touching clinical illustrations peppered throughout the book. Fran Waters has drawn on her vast clinical experience and thorough knowledge of current perspectives on dissociation and child therapy to write an integrative, readable, and immensely useful masterpiece, a gift to the field of child psychology and psychotherapy and to the many therapists, children and parents who will benefit from her wisdom." --Pat Ogden PhD, Founder, Sensorimotor Psychotherapy Institute; Author, Sensorimotor Psychotherapy Interventions for Trauma and Attachment "A skillfully written, comprehensive and remarkable volume. Well-grounded in theory and full of rich, practical applications and detailed case examples. Water's outstanding work will expand clinicians' capacity to understand and assess dissociation as well as to effectively accompany children in their healing journeys. An essential resource for therapists of all orientations working with trauma and dissociation." Ana M. GÛmez, MC, LPC, Author of EMDR Therapy and Adjunct Approaches with Children: Complex Trauma, Attachment and Dissociation "Healing the Fractured Child" provides an invaluable source of information for all professionals and non-professionals interested in childhood dissociation. Based on her many years of experience in this field, Waters takes us from an explanation of dissociation and related theories to the behaviors which may be noticed by a parent, teacher or doctor, through the assessment quagmire and the challenges of parenting, to the important work of emotional regulation and the identification of self-states, bringing in consideration of where medication can or cannot assist and describing the hard work of trauma processing, to integration, possible relapse, and back again to even stronger internal integration. The intricately described clinical examples provide a plethora of ideas for working with these children and offer readers the encouragement and hope so important for working with children who experienced trauma. Sandra Wieland, Ph.D., R.Psych. Illuminates the most promising treatments available for dissociative children Written by one of the nation's leading practitioners in the field of childhood trauma, abuse, and dissociation, this comprehensive resource fills a void in the literature to provide in-depth knowledge of current interventions for treating dissociation in youth. It describes a detailed, careful assessment process and creative, evidence-supported techniques for helping children and their families to heal from chaotic, traumatizing experiences. With both a theoretical and practical focus, the book offers proven strategies for successfully treating children and adolescents with varying degrees of dissociation and co-morbid symptoms. It also integrates adjunct therapies in environments beyond those of traditional psychotherapy, such as school, and describes how their strategies can be used effectively to augment therapy and understand dissociative children. Based on a model integrating five prominent therapeutic modalities, and underscoring the importance of attachment style, the book focuses on the neurobiology of trauma, a high co-morbidity of symptoms, specialized clinical interventions, psychopharmacology, and family intervention techniques. Also addressed are adjunct therapies in art, and EMDR. In addition, the book provides a window into the effects of traumatic events such as medical illness that may be overlooked, and safe techniques with dissociative youth who are exhibiting dangerous behaviors. Rich clinical examples demonstrate the various phases of treatment and offer a window into the internal world of dissociative children. This resource provides mental health clinicians, and other health professionals with a wealth of tools to effectively treat this troubled client population. Key Features: Describes theoretical conceptualization and specialized integrative techniques to treat dissociative children effectively Integrates psychotherapy with EMDR, art therapy, neurobiology and psychopharmacology Distills current research on neurobiology of trauma and how to intervene with specially designed treatment strategies Provides in-depth knowledge of the latest creative interventions for treatment across degrees and ages of dissociation, and co-morbid symptoms Sensitizes the therapist to often overlooked traumatic events, e.g. medical illness, that can exacerbate symptoms

The new edition of this comprehensive classic continues the tradition of offering the latest developments in the mechanisms of injury, the biomechanics of fracture reduction, and an understanding of the potential for healing. It correlates anatomy, pathology and radiography of childrens skeletal injuries with a plethora of photographs and line drawings, establishing diagnosis, management, and treatment in a comprehensive and practical manner. Important additions to this edition are an expansive chapter on the management of multiple injuries, the management of complications, extensive discussion of soft tissue injuries following skeletal trauma, new diagnostic techniques, and the use of flaps in childrens injuries. Written by one of the most highly respected names in the orthopaedic community world-wide, this third edition will remain an invaluable resource to paediatric orthopaedic surgeons, general orthopaedic surgeons, emergency room physicians, orthopaedic trauma surgeons and residents and fellows in these specialities.

Long considered the "go-to" reference for orthopaedic trauma surgeons and pediatric orthopaedic trauma surgeons, Green’s Skeletal Trauma in Children provides comprehensive, practical guidance on the management of traumatic musculoskeletal injuries in children and adolescents. The fully revised 6th Edition covers the latest techniques, procedures, outcomes measures, pearls and pitfalls, and rehabilitation advice for the modern management and understanding of skeletal trauma in children – all provided by "who's who" list of pediatric orthopaedic trauma experts. Includes updated, evidence-based information on the impact of trauma to the immature and growing skeleton with comprehensive coverage of incidence, mechanisms of injury, classifications, and treatment options and complications for fractures in all major anatomical regions. Employs a new succinct and clear format that emphasizes need-to-know material. Features practical, step-by-step videos online. Includes hundreds of high-quality line drawings, diagnostic images, and full-color clinical photos that facilitate learning and understanding of complex material. Includes separate chapters on key topics such as Nerve Injury and Repair in Children, Skeletal Trauma in Young Athletes, Nonaccidental Trauma, Anesthesia and Analgesia, and Rehabilitation of the Child with Multiple Injuries. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Highly acclaimed in its first edition and thoroughly revised and expanded in this second edition, this volume uses an interdisciplinary approach and covers trauma to each body region, pyschosocial considerations, normal variants, disease simulating abuse, congenital malformations, dating fractures, and much more. This edition contains a heavier emphasis on MRI, expanded discussion of differential diagnosis, expanded legal issues and the addition of recent scientific work relevant to diagnosing child abuse. * New to this edition: heavier emphasis on MRI, expanded discussion of differential diagnosis, and expanded legal issues * Chapters cover trauma to each body region, psychosocial considerations, normal variants, diseases simulating abuse, congenital malformations, dating fractures, and much more

There are many textbooks on fractures in adults, but few deal with those in children and young persons. Publications on fractures in children are usually written by orthope dic surgeons who are familiar with the problems presented by the growing skeleton. The principles taught in the best known works on fractures in children by BLOUNT (1954), RETTIG (1957), CHIGOT and ESTEVE (1957), EHALT (1960), POLLEN (1973), and RANG (1974), differ from each other only slightly. The controversy which has sur rounded the treatment of fractures in adults in recent years has never extended to chi1drens' fractures. Skillful nonoperative treatment of the latter leads to uneventful healing in the majority of cases, which cannot always be said of similar injuries in adults. "Considerable skill" is required to induce nonunion in a child, and its occur rence always results from a serious error of management. In the adult, prolonged immobilization frequently leads to muscle atrophy, joint stiffness, and disturbances of the peripheral innervation and circulation. Fracture treatment by internal fixation in the manner originally described by LANE (1894), LAMBOTTE (1892, 1907, 1913), KONIG (1905, 1931), and DANIS (1932, 1949) has gained wide acceptance only in the last 15 years. Since 1958, MULLER, ALLGOWER, WIL LENEGGER, and the other members of the Swiss Association for the Study of Internal Fixation (ASIF) have been developing techniques and instruments for the operative treatment of fractures.