Journal of Pain Management and Therapy

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Case Report - Journal of Pain Management and Therapy (2023) Volume 7, Issue 6

A comprehensive note on pediatric orthopedic injuries.

Anthony Riccio*

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, USA

*Corresponding Author:
Anthony Riccio
Department of Orthopaedic Surgery
Texas Scottish Rite Hospital for Children

Received:25-Aug-2023,Manuscript No. AAPMT-23-119427; Editor assigned: 27-Aug-2023, PreQC No. AAPMT-23-119427(PQ); Reviewed:10-Sept-2023, QC No. AAPMT-23-119427; Revised:15-Sept-2023, Manuscript No. AAPMT-23-119427(R); Published:22-Sept-2023, DOI: 10.35841/aapmt- 7.5.171

Citation: Riccio A. A comprehensive note on pediatric orthopedic injuries. J Pain Manage Ther. 2023;7(6):171

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Pediatric orthopedic injuries are a common and often concerning occurrence in the lives of children and their families. These injuries encompass a wide range of musculoskeletal problems, affecting bones, joints, muscles, and soft tissues in children and adolescents. Understanding pediatric orthopedic injuries is essential for parents, caregivers, and healthcare professionals to ensure proper diagnosis, treatment, and recovery. This article provides a comprehensive overview of pediatric orthopedic injuries, covering their causes, common types, diagnosis, treatment, and prevention strategies[1].

Causes of pediatric orthopedic injuries

Pediatric orthopedic injuries can result from various causes, including accidents, sports activities, congenital conditions, and overuse. Understanding these causes is crucial for both prevention and early intervention. Some of the primary causes are as follows:

Sports-related Injuries: Children often engage in sports and recreational activities, which can lead to injuries. Common sports-related injuries include sprains, strains, fractures, and growth plate injuries. Overuse injuries can also occur due to excessive training or improper technique[2].

Congenital conditions:Some pediatric orthopedic conditions are present at birth. Examples include developmental dysplasia of the hip (DDH), clubfoot, and scoliosis. Early detection and treatment are essential to prevent complications and long-term disabilities.

Overuse injuries: Overuse injuries are increasingly common among young athletes who participate in repetitive sports activities. Conditions like Little League elbow and Osgood-Schlatter disease can result from excessive stress on growing bones and joints[3].

Common types of pediatric orthopedic injuries

Pediatric orthopedic injuries encompass a wide range of conditions, but some are more prevalent than others. The following are some of the common types of injuries seen in children:

Fractures: Bone fractures are common in children, often occurring due to falls, sports-related injuries, or accidents. Fractures can vary in severity from simple hairline cracks to more complex breaks, such as greenstick or displaced fractures[4].

Dislocations:Joint dislocations occur when the bones that form a joint are forced out of their normal positions. These injuries can result from accidents or trauma. Common dislocations in children include shoulder dislocations and elbow dislocations[5].

Growth plate injuries: Growth plates are areas of developing cartilage near the ends of bones, responsible for bone growth. Injuries to the growth plates can lead to deformities if not properly managed. They are often seen in the long bones of the arms and legs.

Soft tissue injuries:Soft tissue injuries include strains and sprains. Strains involve damage to muscles, while sprains affect ligaments. These injuries can happen during physical activities or sports.

Developmental Dysplasia of the Hip (DDH): DDH is a congenital condition where the hip joint doesn't develop properly. It can lead to hip dislocation if not identified and treated early[6].

Treatment of pediatric orthopedic injuries

The treatment of pediatric orthopedic injuries depends on the type and severity of the injury or condition. The main goals of treatment are to relieve pain, restore function, and prevent long-term complications. Here are the treatment options for common pediatric orthopedic injuries:

Fractures: Most fractures in children can be treated without surgery. Immobilization with casts, splints, or braces is often sufficient to promote healing. Surgical intervention may be necessary for complex fractures or those with bone displacement[7].

Dislocations: Joint dislocations often require reduction, which involves putting the bones back in their normal positions. After reduction, immobilization and physical therapy may be necessary to restore joint function.

Growth plate injuries: The treatment of growth plate injuries depends on the type and location of the injury. In some cases, immobilization with a cast or brace is sufficient. Severe injuries may require surgery to stabilize the growth plate[8].

Soft tissue injuries: Strains and sprains are typically treated with rest, ice, compression, and elevation (RICE therapy). Physical therapy may be recommended to strengthen the affected area and improve range of motion.

Prevention strategies

Preventing pediatric orthopedic injuries is a priority for parents, caregivers, and healthcare professionals. While accidents can be challenging to prevent entirely, several strategies can help reduce the risk of injuries:

Safety equipment: Ensure that children use appropriate safety equipment, such as helmets, knee pads, and mouth guards when participating in sports and recreational activities[9].

Home safety: Make homes safe by installing safety gates, securing heavy furniture to prevent tipping, and keeping stairways and walkways clear of obstacles.

Proper technique: Teach children proper techniques for activities like lifting, carrying, and participating in sports to reduce the risk of overuse injuries.

Regular physical activity: Encourage regular physical activity and exercise to promote muscle and bone health. Strong bones are less likely to fracture[10].


Pediatric orthopedic injuries are a common and often challenging aspect of childhood. Understanding the causes, types, diagnosis, and treatment options is crucial for parents, caregivers, and healthcare professionals. With proper prevention strategies and early intervention, the impact of these injuries can be minimized, allowing children to lead healthy and active lives. If your child experiences an orthopedic injury, seek prompt medical attention from a healthcare provider with expertise in pediatric orthopaedics to ensure the best possible outcome for their recovery.


  1. Bonadio WA.Cervical spine trauma in children: Part I. General concepts, normal anatomy, radiographic evaluation.Am J Emerg Med. 1993;11(2):158-65.
  2. Indexed at, Google Scholar, Cross Ref

  3. Schafermeyer RW, Ribbeck BM, Gaskins J, et al.Respiratory effects of spinal immobilization in children.Ann Emerg Med. 1991;20(9):1017-9.
  4. Indexed at, Google Scholar, Cross Ref

  5. Bohn DE, Armstrong DE, Becker LA, et al.Cervical spine injuries in children.J Trauma. 1990;30(4):463-9.
  6. Indexed at, Google Scholar, Cross Ref

  7. Carney BT, Weinstein SL, Noble J.Long-term follow-up of slipped capital femoral epiphysis.Bone Joint Surg. 1991;73(5):667-74.
  8. Indexed at, Google Scholar, Cross Ref

  9. Chung SM.Identifiying the Cause of Acute Limp in Childhood: Some Informal Comments and Observations.Clin Pediatr. 1974;13(9):769-72.
  10. Indexed at, Google Scholar, Cross Ref

  11. Graves SC, Canale ST.Fractures of the olecranon in children: long-term follow-up.J Pediatr Orthop. 1993;13(2):239-41.
  12. Indexed at, Google Scholar

  13. Dormans JP, Rang M.Fractures of the olecranon and radial neck in children.Orthop Clin North Am. 1990;21(2):257-68.
  14. Indexed at, Google Scholar

  15. Leung AG, Peterson HA.Fractures of the proximal radial head and neck in children with emphasis on those that involve the articular cartilage.J Pediatr Orthop. 2000;20(1):7.
  16. Indexed at, Google Scholar, Cross Ref

  17. Lampe JB.History and Radiographic Findings Associated with Clinically Suspected Radial Head Subluxations.Clin Pediat. 2000;39(10):619.
  18. Indexed at, Google Scholar, Cross Ref

  19. Boyer BA, Overton B, Schrader W, et al.Position of immobilization for pediatric forearm fractures.J Pediatr Orthop. 2002;22(2):185-7.
  20. Indexed at, Google Scholar, Cross Ref

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