Pelvic Avulsion Fractures In Children

WHAT YOU SHOULD KNOW:

A pelvic avulsion fracture occurs when a piece of pelvic (hip) bone breaks and tears away. This happens when a tendon or ligament connected to the hip bone tightens so hard that it pulls off part of the bone. Teenagers are more likely to have this injury than younger children.

INSTRUCTIONS:

Medicines:

Your child may need any of the following:

  • Prescription pain medicine may be given. Ask your child's healthcare provider how to give this medicine safely.

  • NSAIDs help decrease swelling and pain or fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's doctor.

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give and how often to give it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.

  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.

  • Give your child's medicine as directed: Call your child's healthcare provider if you think the medicine is not helping or if he has side effects. Tell your child's healthcare provider if your child takes any vitamins, herbs, or other medicines. Keep a list of the medicines he takes. Include the amounts, and when and why he takes them. Bring the list or the pill bottles to follow-up visits.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Activity:

  • Your child may need more rest than he realizes while he heals. Quiet play will keep your child safely busy so he does not become restless and risk injuring himself. Have your child read or draw quietly. Follow instructions for how much rest your child should get while he heals.

  • Ask your child's healthcare provider when your child can be physically active again. Together you can plan the best exercise program for your child. It is best to start slowly and do more as he gets stronger. Do not let your child play sports, such as football or soccer, while his fracture is still healing.

  • Make sure your child uses his crutches or walker correctly. To keep him from falling, remove loose rugs from the floor. It may be easier for your child to get out of a chair if he uses chairs with side arms and hard cushions. You may also want to put a chair or a commode inside the shower for your child.

Ice:

Apply ice on your child's hip for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.

Physical therapy:

A physical therapist may teach your child exercises to strengthen his hip and legs once the pain is gone.

Contact your child's healthcare provider if:

  • Your child has a fever.

  • Your child has new symptoms.

  • You have questions or concerns about your child's condition or care.

Return to the emergency department if:

  • Your child has increased swelling, pain, or redness in his hip.

  • Your child has trouble moving his leg or foot.

  • Your child's leg feels numb.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Pelvic Avulsion Fractures In Children (Aftercare Instructions)

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