ABSTRACT
The main difference in the immature pelvis is the possibility of a single break of the ring. The operative management of paediatric pelvic and acetabular fractures is highly subspecialist and therefore is not described in detail. Low-energy proximal femur fractures are usually the result of pre-existing bone pathology, in particular: In displaced fractures the limb is short, externally rotated and slightly abducted. AP and lateral radiographs of the pelvis and affected hip comprise the primary imaging modality. Hip dislocations are described by the direction of displacement: anterior, posterior or central. The prognosis following paediatric hip dislocation is generally good, with a low incidence of complications: Femoral shaft fractures represent approximately 2 per cent of all paediatric fractures. Satisfactory outcomes are reported in 80 per cent, but potentially serious complications include: Tibial tubercle avulsion typically results from jumping activities, such as basketball or long jump, because of eccentric quadriceps contraction. Tibial shaft fractures are described according to location, fracture pattern, displacement.
