OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Paediatric Trauma

Complete Physeal Separation Of Lower Humerus

Courtesy Dr Chasanal Rathod, Dr Ashok Shyam, Ortho TV   Definition Pediatric fractures and injuries are classified based on: Mechanism of injury Pattern of fracture Involvement of growth plate Severity and displacement Common Pediatric Fracture Classifications Growth Plate (Physeal) Injuries Most important in children. ? Salter-Harris classification Types: Type I – Through physis only Type […]

Monteggia Fractures- Staying Away From Trouble

Courtesy: Dr. Alvin Crawford, Dr Ashok Shyam, Ortho TV   Monteggia fracture-dislocation – Practical Concepts & Management Definition Injury consisting of: Fracture of ulna Dislocation of radial head Key Principle (Most Important Point) “Ulna is the key to management” Proper ulnar alignment – spontaneous reduction of radial head Focus should be on: Restoring ulna anatomy, […]

Femoral Neck Fractures In Children

Courtesy: Dr Ashok Shyam, Dr. Alvin Crawford, Ortho TV   Pediatric Femoral Neck Fractures Overview Rare injuries accounting for approximately 1% of pediatric orthopedic fractures Usually caused by high-energy trauma Trivial trauma should raise suspicion for: Pathological fracture Insufficiency fracture Common Pathological Causes Unicameral bone cyst Chondroblastoma Osteosarcoma Epidemiology More common in boys Incidence in […]

TENS

Courtesy: Dr. James Hui, Dr Ashok Shyam, Ortho TV

Distal Femur Physeal Fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Distal Femoral Physeal Fractures (Pediatric) Overview Injury to the distal femoral physis in children One of the most important pediatric knee injuries Clinical Importance High risk of growth arrest (~50–60%) Risk increases with: Displacement High-energy trauma Key Clinical Point In children presenting with: Suspected MCL/LCL […]

Paediatric ACL tears and Tibial Spine Fractures

Courtesy: Prof Shital Parikh, Professor, Cincinatti Childrens Hospital, Cincinatti, Ohio, USA Pediatric ACL Tears & Tibial Spine Fractures – High-Yield Notes  Pediatric ACL Tear  Natural History (IMPORTANT) Non-operative – poor outcomes  instability  meniscal tears  return to sports Delay > 12 weeks – irreparable meniscus injury Conclusion: Early surgical management preferred  Assessment of Skeletal Maturity Methods: […]