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Team Approach: Bone Health in Children and Adolescents

Kraus, Emily, MD1; Bachrach, Laura K., MD1; Grover, Monica, MBBS1,a

doi: 10.2106/JBJS.RVW.17.00205
Team Approach Review Articles
Disclosures

  • * Fractures are common in childhood and adolescence, with an estimated 30% of this population experiencing at least 1 broken bone. The forearm is the most common fracture site.
  • * In the absence of major trauma, fractures of the femur and spine are suggestive of abnormal bone fragility; such cases warrant a comprehensive evaluation and treatment by a team of specialists.
  • * Pharmacological agents to treat pediatric osteoporosis should be considered for patients with fragility fractures, especially when spontaneous recovery is unlikely.
  • * Similarly, overuse injuries of the bone (stress fractures) in children and adolescents are best evaluated and managed by a team that includes orthopaedic surgeons, physical therapists, nutritionists, and sports-medicine experts.
  • * Management of stress fractures includes optimizing nutrition, rest until fractures heal, gradual return to activity, and surgery if nonunion occurs.

1Department of Orthopaedic Surgery (E.K.) and Division of Endocrinology, Department of Pediatrics (L.K.B. and M.G.), Stanford University School of Medicine, Stanford, California

aE-mail address for M. Grover: mgrover@stanford.edu

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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