– 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: – 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
– 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: – Fractures of Distal Tibial Metaphysis – Pediatric Ankle Fractures – Stage II Supination – Salter Harris III – Salter Harris IV – Triplane Fracture – Angular Deformity: – varus deformities most common complication found w/ distal tibia growth plate injuries 2nd … Read more
– See: Radiology of the Pediatric Elbow Posterior Approach to the Elbow – Pediatric Elbow Injuries: – Distal Humeral Physeal Separation – Elbow Dislocation – Lateral Condyle Frx – Medial Condyle Frx – Medial Epicondyle Frx – Monteggia Frx – Nursemaid’s Elbow – Olecranon Fracture – Osteochondritis – Osteochondrosis of Medial Epicondyle – Radial Neck … Read more
– Discussion: – epiphyseal artery – metaphyseal artery – nutrient artery – periosteal vessels – see tibia bone circulation – Pediatric Bone Circulation: – circulation in pediatric bone: – differs from adult circulation due to requirements of growth … Read more
– See: – Below Knee Amputation: – BKA prosthetics – Pediatric Amputation – Discussion: – Anterior bowing assoc. w/ posterior tilting of epiphyseal plate; – Varus type of bowing with distal element pointing medially; – Fibula will usually out grow tibia, which may … Read more
– See: – Pediatric Distal Tibial Fracture – Pronation-External Rotation Frx – Supination – External Rotation Frx – Supination Inversion Frx – Supination Plantar Flexion – Tillaux Fracture – Triplane Fracture – Discussion: – most … Read more
– Post Fixation: – w/ BPB grafts, the sutures are passed thru the bone plug and then are passed around a screw over a washer; – w/ soft tissue grafts (such as tendinous edge of Achilles tendon graft), requires a Krackow stitch (whiped locking stitch) is required; – Spiked Washer Fixation: … Read more
– Discussion: – occurs when pressure in a muscle compartment is > pressure in the capillaries, which leads to progressive muscle ischemia and edema and left untreated can result in infarction of the compartment contents; – ischemia and necrosis of the muscles occur even though the arterial pressure is still high enough to produce … Read more