Background: Trauma remains the leading cause of death in children, of which the majority
of patients have orthopedic injuries. The range of injured bones is various, each requiring
knowledge and expertise to appropriately manage in a timely fashion.
Objectives: The importance of a systematic approach to the pediatric polytrauma patient is paramount.
This chapter will highlight orthopedic issues important to the pediatric polytrauma patient
including the unique anatomy and properties of pediatric bone. A systematic approach to the pediatric
polytrauma patient will also be discussed.
Methods: A review of the literature was undertaken to identify current practices in pediatric orthopedic
Result and Conclusion: Orthopedic injuries in polytrauma are a common and important entity in
children. Special attention to the unique anatomy and injury patterns in children should be undertaken
as they are important for their management.