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Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared
Salter Harris–type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle–brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion fo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586811/ https://www.ncbi.nlm.nih.gov/pubmed/26425580 http://dx.doi.org/10.1177/2324709613500238 |
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author | McKenna, Sean M. Hamilton, Steven W. Barker, Simon L. |
author_facet | McKenna, Sean M. Hamilton, Steven W. Barker, Simon L. |
author_sort | McKenna, Sean M. |
collection | PubMed |
description | Salter Harris–type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle–brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion for a vascular injury. Ideally reduction, stabilization, and vascular repair, if necessary, should be carried out within 6 hours of the initial event. There should be a low threshold for fasciotomies. These 2 cases demonstrate the importance of having a high index of suspicion for vascular injury and the need for continued reassessment. |
format | Online Article Text |
id | pubmed-4586811 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-45868112015-09-30 Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared McKenna, Sean M. Hamilton, Steven W. Barker, Simon L. J Investig Med High Impact Case Rep Article Salter Harris–type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle–brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion for a vascular injury. Ideally reduction, stabilization, and vascular repair, if necessary, should be carried out within 6 hours of the initial event. There should be a low threshold for fasciotomies. These 2 cases demonstrate the importance of having a high index of suspicion for vascular injury and the need for continued reassessment. SAGE Publications 2013-07-29 /pmc/articles/PMC4586811/ /pubmed/26425580 http://dx.doi.org/10.1177/2324709613500238 Text en © 2013 American Federation for Medical Research http://creativecommons.org/licenses/by/3.0/ This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm). |
spellingShingle | Article McKenna, Sean M. Hamilton, Steven W. Barker, Simon L. Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared |
title | Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared |
title_full | Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared |
title_fullStr | Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared |
title_full_unstemmed | Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared |
title_short | Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared |
title_sort | salter harris fractures of the distal femur: learning points from two cases compared |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586811/ https://www.ncbi.nlm.nih.gov/pubmed/26425580 http://dx.doi.org/10.1177/2324709613500238 |
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