OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Paediatric Trauma

Common Pediatric Elbow Fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Overview Pediatric elbow fractures broadly include: Supracondylar fractures of the humerus Fractures involving ossification centres This section focuses on fractures involving ossification centres. Ossification Centres of the Elbow Understanding timing is critical for diagnosis. Elbow ossification centers CRITOE Structure Age (years) Capitellum 1 Radial head 3 […]

Occult Injury Of The Elbow & Joint Effusion

Courtesy; Prof Nabil Ebraheim, University of Toledo, Ohio, USA 1. Common Pediatric Elbow Fractures A. Supracondylar fracture of humerus Most common pediatric elbow fracture Most common cause of elbow effusion in children Diagnosis Anterior humeral line assessment B. Fractures Involving Ossification Centers Elbow ossification centers CRITOE Structure Age (years) Capitellum 1 Radial head 3 Medial […]

Elbow Ossification Centers

Courtesy: Prof Nabil Ebraheim   Elbow ossification centers – CRITOE Why Is This Important? Pediatric elbow X-rays are notoriously confusing Ossification centers can: Mimic fractures Hide fractures Therefore, you must know: Order of appearance Age of appearance Which centers should be present at a given age Mnemonic: CRITOE Letter Structure Age (Years) C Capitellum 1 […]

Femoral shaft fractures in Children

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Pediatric Femoral Shaft Fractures Overview Pediatric femoral shaft fractures are among the most common major orthopedic injuries in children. Management primarily depends on: Age of the child Fracture pattern Stability of fracture Weight of the child Associated injuries Important Clinical Red Flag A femoral shaft […]

Paediatric Elbow Dislocation and Differential Diagnosis

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Basic Facts Commonly seen in children aged 10–15 years Rare below 3 years Most common type: posterolateral dislocation Relationship between radius and ulna is maintained This helps distinguish it from Monteggia fracture-dislocation Treatment of Elbow Dislocation Closed reduction Early mobilization Always Assess For Medial epicondyle […]

Is Cubitus Varus a Rotational issue?

Courtesy: William Mackenzie, duPont Hospital, Jefferson Medical College, USA Definition • Post-traumatic deformity of distal humerus • Characterized by: o Varus angulation o Extension o Internal rotation Also called “Gunstock deformity” ________________________________________ Etiology (Most Important ) • Malunion after supracondylar fracture o Especially extension type o Most commonly with posteromedial displacement Why it happens: • […]

Patellar sleeve fractures

DEFINITION Patellar sleeve fractures are rare injuries occurring in the skeletally immature population( 8 – 12 years) . Characterized by the separation of the cartilage “sleeve” from the ossified patella. Displaced bone-forming tissue will continue to grow and ossify, enlarging, and possibly duplicating the patella. Epidemiology 1% of all fractures in pediatric population Accounts for […]