🩺 Chapter 728 · Management of Musculoskeletal Injury

Nelson Textbook of Pediatrics 22nd Edition | Acute injuries: sprains (I-III), strains (I-III), PRICE principles (Protection, Rest, Ice, Compression, Elevation). Overuse injuries: tendinosis (not tendinitis), relative rest, 10% rule. Rehabilitation phases (4-phase return to play): Phase 1 (limit injury/swelling), Phase 2 (improve strength/ROM), Phase 3 (near-normal strength, proprioception), Phase 4 (return to sport). Growth plate injuries: Salter-Harris classification, gymnast's wrist (distal radial physeal stress), Little League elbow (medial epicondyle apophysitis), Sever disease (calcaneal apophysitis), Osgood-Schlatter (tibial tubercle). Compartment syndrome: pain out of proportion, pain with passive stretch; emergent fasciotomy. Imaging: ultrasound for dynamic assessment, MRI for stress fractures/OCD.

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📋 30 Clinical Scenarios — Musculoskeletal Injury Management

📇 High‑Yield Review Cards

🩺 Clinical Recognition: Musculoskeletal Injuries

Select a presentation to review diagnostic clues and management per Nelson Ch 728.

📋 Stepwise Management of Musculoskeletal Injuries

🔑 Key Principles — Nelson Chapter 728
• PRICE principles: Protection, Rest, Ice (20 min q2-4h), Compression, Elevation.
• Overuse injuries: Tendinosis (not inflammation), relative rest (pain-free activity), correct training errors (10% rule).
• Rehabilitation phases: Phase 1 (limit injury/swelling), Phase 2 (improve strength/ROM), Phase 3 (proprioception), Phase 4 (sport-specific return).
• Growth plate injuries: Salter-Harris I-V. Little League elbow (medial epicondyle apophysitis), gymnast's wrist (distal radial physis), Sever disease (calcaneus), Osgood-Schlatter (tibial tubercle).
• Compartment syndrome: Pain out of proportion, pain with passive stretch. Emergent fasciotomy.

    ⚡ Reflex Prompts — Clinical Decisions

    📖 Summary: Management of Musculoskeletal Injury (Nelson 728)