Data Trace Editor – 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
– See: – Methods to Etimate Growth Potenital: – Growth Plate Anatomy – Appearance of Ossification Centers: – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous; – ossification centers will enlarge in all directions, until it becomes bounded on … Read more
– Discussion: – usually involves an SH type III avulsion fracture of thrumb proximal phalanx; – Radiographs: – unlike adult gamekeeper’s injury, stress testing of a pediatric gamekeeper’s fracture is not required since the amount of displacement of the SH III fragment determines the stability of the injury; – Non Operative Treatment: – … Read more
– Discussion: – most commonly presents at 14 to 36-months; – bowleg deformity in children w/ short stature & may indicate skeletal dysplasia; – developmental knee alignment: – normal knee alignment progresses from 10-15 deg of varus at birth to maximal valgus angulation of … Read more
– Discussion: – younger children will tend to have SH II fractures of the epiphysis of the distal phalanx; – older children tend to have SH III fractures. – the main epiphyseal fragment is held in place by the extensor tendon, while the distal fragment is flexed by the … Read more
– SH Type II Frxs: – most common frx in proximal phalanx in pediatric population; – physeal frx occurs due to the proximal attachment of the collateral ligament; – typically the digit has an abducted angulated – some residual lateral angulation in SH II fractures may be … Read more
– See: – Distal Femoral Physeal Fractures – Hip Fractures in Children – IM Nailing of Pediatric Femoral Fractures – Discussion: – commonest site of fracture of the femoral shaft is in its middle third, where normal anterolateral bowing of the diaphysis is at its maximum; … Read more
– See: Adult Olecranon Frx: – Discussion: – secondary ossification centers of olecranon (bipartite olecranon or patella cubiti) should not be misdiagnosed as fractures; – Radiology: – ossification center of olecranon appears at 10 yrs of age & is usually fused to proxomal ulna by age 16 yr; – rarely … Read more
– Discussion: – children’s frx are rarely intra-articular; – common types: – physeal frx – torus fracture – green stick frx – both bone forearm frx – galeazzi’s frx – distal radius fracture: – Anesthesia: – note … Read more