Fracturas por avulsión del miembro inferior en el paciente pediátrico y adolescente

Abstract

This review intends to address the importance of avulsion fractures in the pediatric patient, given that they are relatively frequent and an underdiagnosed pathology. We have searched the most recent bibliography available in concern with this topic to reveal the most important aspects of this pathology such as the pathophysiology, and the diagnostics techniques and treatments available. Muscular traction is seen to be the main cause of this particular growth plate fractures. For the diagnosis a proper interview and physical examination is needed, to explain the mechanism of production and physiopathology, we will also need the use of simple radiography and CT to characterize these lesions. As far as the treatment is concern, it will be conservative with a slowly progressive rehabilitation program in most of the cases, nevertheless some complications may ap-pear, and surgical rescue may be indicated. Surgical techniques are variable, multiple, and sur-geon-dependent, also the localization of the lesion and characteristics of the patient should count to decide the best treatment. Due to possible complications, an early diagnosis is needed.