OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Paediatric Trauma

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 […]

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. […]

Sports Shoulder- Injuries in Children

    Sports Shoulder Injuries in Children Epidemiology Common Sports Associated Football (especially defensive players) Wrestling Basketball (males) Softball, gymnastics, cross-country (females) Extreme sports: Skateboarding Skydiving Key Point Limited high-quality epidemiological data Need for: Registries and better tracking systems Common Injury Patterns 1. Medial Clavicle Epiphyseal Injury Population Adolescents Key Concept Often a physeal fracture, […]