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traumatic leg injury
Management:
1) ibuprofen as effective as tylenol with codeine for analgesia in children age 5-17 [3]
2) prophylaxis for deep vein thrombosis
a) consider LMW heparin for patients who require immobilization in a plaster cast or brace with non weight-bearing, i.e. crutches or wheel chair [1]
b) mechanical foot pumps plus enoxaparin may be better than enoxaparin alone [2]
Related
leg pain
Specific
ankle injury
foot injury
gastrocnemius muscle tear
knee injury, traumatic
General
trauma
References
- Journal Watch 22(19):150, 2002
Lassen MR et al,
Use of the low-molecular-weight heparin reviparin to prevent
acute deep-vein thromboembolism after leg injury requiring
immobilization
N Engl J Med 347:726, 2002
PMID: 12213943
- Stannard JP et al,
Prophylaxis against deep vein thrombosis following trauma:
A prospective, randomized comparison of mechanical &
pharmacologic prophylaxis
J Bone Joint Surg Am 2006; 88:261
PMID: 16452735
- Friday JH et al
Ibuprofen provides analgesia equivalent to acetaminophen-
codeine in the treatment of acute pain in children with
extremity injuries:
A randomized clinical trial. Acad Emerg Med 2009 Aug; 16:711.
PMID: 19624576