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Orthopaedics
Paediatric Distal Humerus Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
1 sections · 113 slides
Overview
- Introduction
- Fracture groups in the pediatric elbow
- Anatomy and development
- Morphology of the child's distal humerus
- Morphology of the child's distal humerus
- Appearance of the ossification centers
- Appearance of the ossification centers
- Growth and remodeling at the distal humerus
- Growth and remodeling at the distal humerus
- Pathoanatomy of supracondylar fractures
- Pathoanatomy of supracondylar fractures
- Lateral condyle as a triplane injury
- Lateral condyle as a triplane injury
- Blood supply of the capitellar fragment
- Blood supply of the capitellar fragment
- Clinical and radiographic assessment
- Inspection and neurological assessment
- Inspection and neurological assessment
- Nerve injury and when to explore
- Nerve injury and when to explore
- Radial pulse and hand perfusion
- Radial pulse and hand perfusion
- Pulseless hand after reduction and fixation
- Managing the ischemic hand in theater
- Managing the ischemic hand in theater
- Compartment syndrome in children
- Compartment syndrome in children
- Compartment syndrome: pressures and release
- Compartment syndrome: pressures and release
- Imaging of the pediatric distal humerus
- Imaging of the pediatric distal humerus
- Radiographic lines and signs
- Radiographic lines and signs
- Timing of treatment
- Timing of treatment
- AO pediatric classification
- Metaphyseal fractures (13-M)
- Metaphyseal fractures (13-M)
- Epiphyseal fractures (13-E)
- AO pediatric type tree for segment 13
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Classification pitfalls in young children
- Classification pitfalls in young children
- Supracondylar fractures (13-M/3)
- Incomplete fractures: 13-M/3.1 I and II
- Treatment options for 13-M/3.1 III and IV
- Treatment options for 13-M/3.1 III and IV (cont.)
- Decision logic for complete fractures
- Closed reduction of extension-type fractures
- Closed reduction of extension-type fractures
- Periosteum, rotation and cubitus varus
- Periosteum, rotation and cubitus varus
- K-wire rules for supracondylar fractures
- K-wire rules for supracondylar fractures
- Lateral-only versus added medial pin
- Lateral-only versus added medial pin
- Torn posterior periosteum and flexion type
- Torn posterior periosteum and flexion type
- ESIN for supracondylar fractures
- ESIN for supracondylar fractures
- Multifragmentary fractures: 13-M/3.2
- Multifragmentary fractures: 13-M/3.2
- Physeal separations (13-E/1.1, 13-E/2.1)
- SH I and II separations: diagnosis
- SH I and II separations: diagnosis
- Treatment of SH I and II separations
- Treatment of SH I and II separations
- Lateral condyle fractures (13-E/3.1, 4.1L)
- Lateral condyle fracture: diagnosis
- Lateral condyle fracture: diagnosis
- Treatment options for 13-E/4.1L
- Treatment options for 13-E/4.1L (cont.)
- Decision logic for lateral condyle fractures
- Decision logic for lateral condyle fractures
- Percutaneous cannulated screw fixation
- Percutaneous cannulated screw fixation
- Open reduction of lateral condyle fractures
- Open reduction of lateral condyle fractures
- Aftercare and risks after condylar fixation
- Aftercare and risks after condylar fixation
- Other epiphyseal and avulsion injuries
- Medial condyle fracture (13-E/4.1M)
- Medial condyle fracture (13-E/4.1M)
- Y-fracture options (13-E/4.2)
- Y-fracture options (13-E/4.2)
- Fixation sequence for the Y-fracture
- Fixation sequence for the Y-fracture
- Medial epicondyle avulsion (13-M/7M)
- Options for medial epicondyle avulsion
- Options for medial epicondyle avulsion
- Lateral collateral avulsion (13-E/7L)
- Lateral collateral avulsion (13-E/7L)
- Intraarticular flake fractures (13-E/8.1)
- Intraarticular flake fractures (13-E/8.1)
- Operative set-up and aftercare
- Patient positioning
- Approaches to the pediatric distal humerus
- Approaches to the pediatric distal humerus
- Aftercare after fixation
- Aftercare after fixation
- Complications and how AO avoids them
- Complications and how AO avoids them
- Take-home messages
- References (1 of 7)
- References (2 of 7)
- References (3 of 7)
- References (4 of 7)
- References (5 of 7)
- References (6 of 7)
- References (7 of 7)
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