Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Growth Arrest Risk Incidence after distal tibial physeal injury: Up to 50% Higher Risk In Displaced fractures Intra-articular injuries Medial malleolar injuries Salter-Harris classification (Ankle) Type I & II Treatment Closed reduction + casting Key Point Surgery does not reduce the risk of growth arrest Type […]
-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 […]
Torus Fractures (Buckle fractures)
Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, Brooklyn, NY, USA
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: […]
Principles of Paediatric PolyTrauma
Courtesy: Nirav Pandya, Associate Prof, UCSF, California, USA
ACL Injuries in Children
Courtesy: Nirav Pandya MD, Associate Professor, Chief of Paediatric Orthopaedics, University of California at San Francisco(UCSF), USA Pediatric Anterior Cruciate Ligament Injury Introduction Previously considered rare in children Reason: Ligaments stronger than bone — injuries occurred at physis or tibial spine Current Trend Rapidly increasing incidence Why Increasing? Early sports specialization (age 6–10) High training […]
Paediatric Forearm and Hand fractures
Courtesy: Amr ABdelgawad, Maimonaides Medical Centre, Brooklyn, NYC, 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) […]
Overview of Paediatric Upper Extremity Trauma
Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, NY, USA
Overview of Paediatric Lower Extremity Trauma
Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, NY, USA
Femoral shaft fractures in Children
Courtesy: Amr Abdelgawad, Consultant, Maimonaides Medical Centre, Brooklyn, New York, USA
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 […]
Paediatric fractures that maybe Missed!
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Pediatric Elbow X-ray Interpretation – Stepwise Approach Why This Topic Is Important Many pediatric elbow fractures are occult and may not be obvious on initial X-rays A normal-looking X-ray does not exclude fracture Missed injuries can result in: Malunion Deformity Loss of motion Long-term disability […]
Paediatric ACL Injuries
Courtesy: Sports Kongress, Copenhagen, Denmark Pediatric anterior cruciate ligament injury – IOC Consensus Approach Basic Concepts Incidence of pediatric ACL injuries is increasing Major long-term concern: Osteoarthritis Children – Small Adults Open physis – risk of growth disturbance Different biomechanics & activity patterns Key Principle Skeletal age > chronological age Treatment Controversy Early Surgery […]