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September 8, 1978

Fracture Management: A Practical Approach

JAMA. 1978;240(11):1187. doi:10.1001/jama.1978.03290110085034

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This relatively concise handbook offers a quick, well-organized overview of fractures in general as well as of fractures confined to specific sites. Medical students, beginning residents, and emergency room physicians should find this of great practical value.

The initial section describes a general assessment of the injured patient, classifies fractures, delineates the sequence to be followed during treatment, and enumerates early and late complications of skeletal injuries.

Methods of fracture management in children differ from those in adults because of the potential influence of growth and remodeling in children's bones. The author correctly devotes a chapter to a general discussion of fractures in children. In addition, each subsequent chapter on fractures and dislocations in specific regions concludes with a description of those lesions in children characteristic of each anatomic site.

The discussions of injuries by region, a time-honored method, begin with highlights of pertinent anatomy and then lucidly delineate the