By Dennis R. Wenger MD, Maya E. Pring MD, Mercer Rang MB BS FRCSC
Dr. Mercer Rang's vintage textual content on kid's fractures has been revised and up to date through eminent orthopedic surgeons from kid's Hospital—San Diego. carrying on with Dr. Rang's culture, Drs. Wenger and Pring supply a uniquely functional, readable evaluate of kid's fractures, emphasizing prognosis, therapy, universal pitfalls, and verbal exchange with mom and dad and different healthcare professionals.
This version gains over four hundred new illustrations. New chapters conceal casts and epidemiology and prevention of fractures. Elbow accidents are lined in higher element in chapters. New info on imaging and new MRI scans were additional. This variation additionally has a extra effortless two-color design.
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Extra info for Rang's children's fractures
The axial (transverse) plane is a cross section, as one might see on a CT or MRI study of the spine. Also, orthopedic terminology is generally described as if one were visualizing a standing human with the upper extremities in extension and externally rotated (forearm supinated), thus the confusion in describing forearm and hand anatomy. With the forearm pronated, one would think of the thumb as being a medial structure yet by anatomic standard (forearm supinated) it is lateral. Thus the terms “radial” and “ulnar side” are best used for localizing forearm and hand conditions.
4860_03_pp27-40 3/25/05 8:46 AM Page 36 36 Orthopedic Literacy: Fracture Description and Resource Utilization “Consumer acceptance of the digital revolution will require education since many patients still prefer to ‘see the orthopedic doctor’ on the same day” “This is a severe supracondylar fracture. You must see the child urgently in your ER” Figure 3-12. This was called in as an acute supracondylar fracture requiring emergent surgery. In fact this is a lateral condyle fracture and surgery could be done anytime in the next 4 to 5 days.
This often includes the most experienced cast technicians and orthopedic surgeons. 4860_03_pp27-40 4/7/05 8:56 AM Page 39 Table 3-2 Advantages of Splinting Fractures (with formal reduction later) 39 Suggested Readings Safer—allows swelling to decrease Definitive treatment in daytime hours—by experienced team Correct billing for reduction plus casting Finally, as the true cost of night and weekend care becomes apparent, and insurance schemes further involve families in sharing cost, it will become apparent that definitive treatment by a specialist in the middle of the night (or early in the morning) is not sustainable.