Klassifikationen von frakturen im kindesalter

Abstract

A fracture classification forms the basis for compiling epidemiological and clinical fracture data in systematic and standardized documentation, thus forming the basic requirement for any evaluation of diagnostic and therapeutic measures in order to monitor efficiency and effectiveness. Information relating also to pediatric fractures can be gained using the AO fracture classification for adults, although this cannot be directly extrapolated to the growing skeleton, since injury patterns, therapy and outcome depend on growth plate age and stage of maturity. Two child-specific classifications have recently been compiled and validated; one of these, the AO of the Paediatric Expert Group (PAEG) is presented here. The complete fracture code comprises between five (bone, segment, type, child and severity) or six codes, depending on whether an exception is made or an extra code is used. © 2010 Springer Medizin Verlag.