OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Paediatric Trauma

Femoral Shaft Fractures in Children

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Femoral shaft fracture in Children Femur fracture is a common injury and one of the most common reason for paediatric hospitalisation due to an orthopaedic injury. Treatment depends upon: 1. Fracture pattern 2. Location of fracture 3. Age of patient Sites of Femoral Fracture can be […]

Distal Tibia and Transitional Fractures in Children

Courtesy: Prof Antonio Andreacchio, President, European Paediatric Orthopaedic Society (2021-22), Chair, Paediatric Orthopaedic Department, Vittore Buzzi Children’s Hospital, Milan, Italy   Distal Tibial Transitional Fractures (Pediatric Ankle) Overview Occur during physeal closure (transitional phase) Important pediatric ankle fractures Types Triplane fracture Tillaux fracture Anatomical Basis (Key Concept) Asymmetric Physeal Closure of Distal Tibia Closure sequence: […]

ACL Injuries in Children

Courtesy: Nirav Pandya MD, Associate Professor, Chief of Paediatric Orthopaedics, University of California at San Francisco(UCSF), USA

Radial Head & Neck Fractures In Children

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA GENERAL OVERVIEW Radial head and radial neck fractures in children are uncommon injuries. These fractures typically occur around 9 years of age. The usual mechanism of injury is a valgus force applied to the elbow. Fractures may involve: The physis (growth plate) of the radial head […]

Paediatric Upper extremity Trauma

Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, NY, USA   Pediatric Upper Extremity Trauma  1. Medial Epicondyle Fracture (Children) Key Anatomy Last ossification center to fuse in elbow Fusion age: Boys: 16–19 years Girls: 13–16 years Attachments Medial collateral ligament (MCL) Mechanism Valgus stress – avulsion injury Commonly associated with elbow dislocation Treatment Non-operative (Most Cases) […]

Medial Epicondyle Fracture Fixation in the Lateral Decubitus Position

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA   Medial Epicondyle Fracture Fixation (Pediatric) – Stepwise Approach 1. Indications for Surgery Absolute / Strong Indications Fragment incarcerated in the joint Associated elbow dislocation Ulnar nerve symptoms Relative Indications Displacement >5 mm (controversial threshold) Elbow instability (valgus instability) High-demand patients: Throwing athletes Weight-bearing upper […]