Data Trace Editor – Pin Diameter and Length: – pins should be at least 5 mm in diameter (such as the Orthofix 6/5 mm self tapping screws); – resistance to cephalad displacemnt could be approximately doubled by using 5 mm vs. 4 mm half pins for iliac wing fixation, & is further enhanced by adding … Read more
– See: – Adult Condylar Fractures – Pediatric Elbow Injuries – Discussion: – in children, supracondylar frxs typically remains extra-articular & involves thin bone between coronoid fossa & olecranon fossa of distal humerus; – frx line angles from anterior distal point to posterior prox site; – in adults, supracondylar frx of humerus may be intra-articular; … Read more
– See: – Casting of Tibial Fractures – Distal Tibial Fracture – Intercondylar Eminence Fracture – Proximal Tibial Physeal Fractures – Proximal Tibial Metaphyseal Fractures – Tibial Tuberosity Fractures – Pediatric Ankle and Distal Tibia Fractures: – … Read more
– See: – Pediatric Both Bone Forearm Fractures – Monteggia’s Fracture – Green Stick Frx – Distal Ulnar Physeal Fractures – Discussion: – pediatric ulnar frx often occur along w/ pediatric both bone forearm frx – … Read more
– Discussion: – pedicle flaps can incorporate a variety of tissues, ranging from skin and subQ fat to essentially a complete finger; – used to provide coverage in areas where tendon (denuded of epitenon), bone (denuded of periosteum), or joints are exposed; – areas that must support tendon grafting or transfers … Read more
– Discussion: – allow control of Anterior column via a posterior approach; – provide 4 point fixation; – reduce the number of levels that must be incorporated in the construct; – this is a particular adavantage in the lower lumbar spine; – screws provide lever arms, which facilitate reduction maneuvers and allow lordosis to be … Read more
– See: Osteochondral Frx – Discussion: – type of osteochondral frx of the patella which results from high impact jumping activities – mechanism: eccentric contraction of the quadriceps on the flexed knee; – occurs when the inferior pole of the patella of a child or … Read more
– Pediatric Acetabular Fractures – Discussion: – characteristics of pediatric pelvic fracture: – in the report by Silber JS, et al, the authors identified 166 consecutive pelvic fractures; – physes were scored as open, narrowed, or closed; … Read more
– Discussion: – limited angulation will have greater effect on loss of motion than will more distal forearm fractures; – the combination of a proximal radial frx, along with an ulnar shaft fracture is known as a Monteggia equivalent (see pediatric Monteggia frx); – Deforming Forces: – above insertion … Read more
– see Pediatric Radial Neck Frx – Discussion: – may be difficult to diagnose since radial head does not ossify until age 4 yrs; – radial head frx may occur along w/ ulnar shaft frx (Monteggia equivalent); – consider MRI or ultrasound to assist w/ diagnosis; – … Read more