The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. Based on the fracture pattern and resting position of the fragments, the mechanism of injury was likely a hyperextension injury. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. Gartland type 2A fractures with mild swelling and no medial comminution can also be treated nonoperatively. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. (Arkader, 2007; Riseborough 1983; Thompson 1995). Salter-Harris II fractures of the distal femur are the most common pattern in children, and will be the focus of this review. Distal femur fractures in children can have various fracture patterns, including supracondylar fractures, T-condylar fractures, or fractures of any pattern from the Salter-Harris classification. Nonphyseal supracondylar fractures of the femur are considered to be uncommon in children and have received little attention in the literature. 13:33. appropriate for fractures of the distal femur, other fracture patterns will be mentioned. Sometimes, the damage to your knee can be severe enough that it cannot be completely reversed with surgery. present in 60% of dislocations; soft tissue injuries patellar tendon rupture; periarticular avulsion; displaced menisci; Prognosis. Rockwood and Wilkins’ Fractures in Children, 7 th Ed. Topics with the highest number of questions. A collar-and-cuff with the elbow in hyperflexion is used as a method of achieving reduction and maintaining alignment (see the image below). A retrospective review of femoral fractures in children at the authors' institution was undertaken to ascertain the incidence of supracondylar femoral fractures, the influence of associated musculoskeletal conditions, and pitfalls of management. The quadriceps muscle bellies are spared during the approach. Distal Femoral Physeal Fractures - Pediatric 18 19: Cavovarus Foot in Pediatrics & Adults 17 20: Medial Epicondylar Fractures - Pediatric ... Proximal Femur Fractures - Pediatric 13 … Poolman RW, Kocher MS, Bhandari M. Pediatric femoral fractures: a systematic review of 2422 cases. These challenging fractures are also most at risk for infection, and infection can cause bone healing problems. A displaced SH 1 distal femur fracture. Medial epicondyle fracture - Pediatric elbow - detailed lecture by NAV MED VIDEOS. The approach allows surgical exposure of the entire articular surface of the distal femur. Pediatrics - Orthobullets - Pediatric orthobullets Home ... More. 5:56. Pediatric distal femoral fractures are notorious for growth arrests. Orthopaedic Educational Services, Inc. © 2017 Orthopaedic Educational Services, Inc. all rights reserved. http://www.orthobullets.com/video/view?id=1848 In more complex fractures, CT is used to delineate intra-articular extension, degree of comminution, and fracture lines in the coronal plane. the distal femur. Distal radius fractures Top 5 management tips by OrthoClips. Pediatric femoral fractures may involve the proximal femur, the femoral shaft, or the distal femur. A recent study re-ported coronal plane fracture in 38.1% of all distal femoral fractures, with the lateral condyle most fre- quently involved.5 In that study, plain radiography missed 31% of coronal plane fractures. # Trauma High-Yield Topics. In the treatment of these injuries, it is important to keep in mind that pediatric femoral fractures differ from adult femoral fractures in several key respects, and these differences affect management. Distal femur fractures remain challenging injuries, check out this video today. 2006; 20(9): 648-54. A rough estimation of leg length discrepancy can be made by assuming skeletal growth continues to the age of 14 in females and 16 in males. "Distal femoral physeal fractures are associated with a high rate of complications. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. Kocher MS et al. The Orthobullets Podcast In this episode, we review the high-yield topic of Proximal Femur Fractures from the Pediatrics section. Distal Femur FX Knee Patella Fracture ... fractures. The radiograph below represents a 9-year-old male who sustained a distal femur fracture and the initial displacement seen in the radiograph makes him a very high risk. • Comminuted distal femur fracture with intraarticular extension • Apex posterior angulation (Recurvatum) • AO-OTA type 33-C3 • CT knee summary: • Intraarticular air suggesting open fracture • Fractures in the sagittal and coronal plane • Fibular head fracture. Fractures without articular involvement (33A fractures) can be treated with antegrade nails, retrograde nails, and lateral plate constructs. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. The choice of implant in these injuries is largely dependent upon the surgeon’s comfort, the patient’s associated Treatment of pediatric diaphyseal femur fractures. A modified anterior approach to the distal femur is presented. Treatment that allows early motion of the knee lessens the risk of knee stiffness, and prevents problems caused by extended bed rest, such as bed sores and blood clots. PMID: 17088672. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatrics section . J Orthop Trauma. Flynn JM, Skaggs DL. Femoral shaft fractures. Remodelling potential in physis: greatest potential sites (2) PLane of motion; Close to active physis: Prox humerus, distal radius, distal femur, prox tibia. % of dislocations ; soft tissue injuries patellar tendon rupture ; periarticular avulsion displaced! ; Riseborough 1983 ; Thompson 1995 ) coronal plane In the coronal.. 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