Gãy xương chân chiếm 5% đến 8% của tất cả các gãy xương trẻ em và khoảng 7% của tất cả các gãy xương physeal. Một sự hiểu biết thấu đáo về giải phẫu của bàn chân của trẻ có tầm quan trọng khi điều trị những thương tích này. Do những khó khăn mà có thể gặp phải trong việc | Pediatric Foot Fractures Evaluation and Treatment Robert M. Kay MD and Chris w. Tang MD Abstract Foot fractures account for 5 to 8 of all pediatric fractures and for approximately 7 of all physeal fractures. A thorough understanding of the anatomy of the child s foot is of central importance when treating these injuries. Due to the difficulties that may be encountered in obtaining an accurate physical examination of a child with a foot injury and the complexities of radiographic evaluation of the immature foot a high index of suspicion for the presence of a fracture facilitates early and accurate diagnosis. Although the treatment results in pediatric foot trauma are generally good potential pitfalls in the treatment of Lisfranc fractures talar neck and body fractures and lawn mower injuries to the foot must be anticipated and avoided if possible. J Am Acad Orthop Surg 2001 9 308-319 Foot fractures account for 5 to 8 of pediatric fractures and approximately 7 of all physeal These fractures are very rare in infants and toddlers due to the large cartilage component of their feet hence the relative resistance to fracture but the incidence increases with age. The more elastic and compressible nature of cartilage in comparison to bone partly explains why foot fractures are less common in children than in adults. As with most traumatic injuries pediatric foot fractures occur more commonly in boys than in girls. The child s foot is generally a forgiving location for fractures. The vast majority of pediatric foot fractures do well with nonoperative management. There are however a group of these fractures that may have poor results even with anatomic reduction and internal fixation. A comprehensive understanding of the anatomy of the foot especially the location and nature of injury to the physes is requisite for optimal evaluation and treatment of children with these injuries. Anatomy As with other musculoskeletal injuries a thorough understanding of the .
