OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Paediatric Trauma

Sports Injuries of the Elbow in children

  1. Common Pediatric Elbow Injuries Supracondylar fracture of humerus (most common) Lateral condyle fracture of humerus Medial epicondyle fracture Elbow dislocation Radial neck fracture Olecranon fracture 2. Supracondylar Fracture Mechanism Fall on outstretched hand Hyperextension injury Distal fragment displaced posteriorly Classification (Gartland) Type I: Undisplaced Type II: Displaced with intact posterior cortex Type III: […]

Radial neck and Olecranon fractures in children

Courtesy: Kaye Wilkins MD Prof Lynn Staheli   Radial Neck and Olecranon Fractures in Children Radial Neck Fractures Basic concepts Most pediatric radial fractures occur at the radial neck (metaphysis), the weakest part of the proximal radius. Radial head ossification appears at 3 to 4 years of age. Ossification is complete by 6 to 7 […]

Monteggia fractures in Children

Courtesy: Kaye Wilkins MD and Lynn Staheli MD   Monteggia fracture-dislocation in Children Definition A Monteggia lesion consists of: Ulna fracture (or plastic deformation) Radial head dislocation Important Note Term “Monteggia lesion” is preferred: Includes both fracture and dislocation components Historical Background Classified by José Luis Bado (1954) Bado classification: Most widely used clinically Bado […]

Forearm fractures in children

Courtesy: Kaye WIlkins MD Lynn Staheli MD Terminology Preferred terminology Fracture of the shaft (diaphysis) of the radius and or ulna. Avoid the vague term “both bone forearm fracture.” Epidemiology Age distribution Boys commonly sustain injuries at 9 to 10 years due to playground activities. A second peak occurs at 14 to 15 years due […]

Overview of Paediatric fractures

Courtesy: Kaye Wilkins MD Lynn Staheli MD www.global-help.org   Pediatric Fractures – Basic Principles 1. Why Pediatric Fractures Are Unique A child is not a miniature adult. Pediatric fractures differ because children have: Increased osteogenic potential Faster healing Greater remodeling capacity These unique biological characteristics influence: Fracture patterns Healing behavior Treatment principles 2. Basic Bone […]

Fractures of Distal Radius and Ulna by Kaye Wilkins MD

Courtesy: Kaye Wilkins and Global Health www.global-help.org   Distal Radius & Ulna Fractures in Children Epidemiology Account for ~25–30% of all pediatric fractures Most common fracture in children Peak Age Boys: 13–14 years Girls: ~10 years Growth Contribution Distal radial physis: ~75–80% of radial growth Risk Growth arrest: ~4% Key Clinical Principle Always Assess Entire […]

Fracture mimickers

Courtesy: Shital Parikh, Taral Nagda, IORG, OrthoTV   Fracture Mimickers in Children (Pediatric Radiology Pitfalls) 1. Overview Pediatric X-rays often show normal variants mimicking fractures Common causes: Ossification centers Physeal anatomy Growth-related changes Key Principle Always correlate with: Clinical findings Contralateral X-ray 2. Physiological Periosteal Reaction (Periostitis of Infancy) Epidemiology Age: < 4 months Seen […]

Paediatric Femoral Neck Fractures

Courtesy: Manoj Padman, Ashok Shyam, IORG, OrthoTV Epidemiology Rare injury, accounting for less than 1 percent of pediatric fractures. Usually results from high energy trauma. Associated with a high risk of missed diagnosis, complications, and poor outcomes. Vascular Anatomy Main blood supply Medial circumflex femoral artery provides the principal blood supply. Retinacular branches are the […]

Medial Epicondyle Fractures

Courtesy: Ashok Shyam, IORG, OrthoTV   Medial Epicondyle Fracture (Pediatric Elbow) Epidemiology Accounts for ~10% of pediatric elbow fractures Common age group: 8–15 years (adolescents) Less Common Than Supracondylar fractures Lateral condyle fractures Mechanism of Injury 1. Avulsion Injury (Most Common) Mechanism: Fall on outstretched hand (FOOSH) 2. Associated with Elbow Dislocation Common association 3. […]