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Orthopaedics

Paediatric Forearm Shaft Fractures (AO Based)

Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)

What’s inside

1 sections · 112 slides

  1. 01

    Overview

    • Introduction
    • Scope of the forearm shaft chapter
    • Forearm fractures as articular injuries
    • Forearm fractures as articular injuries
    • Anatomy and growth
    • Neurovascular anatomy of the forearm
    • Neurovascular anatomy of the forearm
    • Posterior interosseous nerve at the radius
    • Posterior interosseous nerve at the radius
    • Forearm axis and rotation
    • Forearm axis and rotation
    • Periosteum in reduction and stability
    • Periosteum in reduction and stability
    • Ossification centers of the forearm
    • Ossification centers of the forearm
    • Modeling capacity of the forearm
    • Modeling capacity of the forearm
    • Acceptable malalignment after casting
    • Clinical and radiographic assessment
    • Clinical examination
    • Clinical examination
    • Radiographs of the forearm shaft
    • Radiographs of the forearm shaft
    • Commonly overlooked patterns
    • Commonly overlooked patterns
    • Decision making and timing of treatment
    • Classification
    • Pediatric codes for the forearm shaft
    • Pediatric codes for the forearm shaft
    • Pediatric codes (continued)
    • Pediatric codes (continued)
    • Type tree of the pediatric forearm shaft
    • Type tree of the pediatric forearm shaft
    • Fracture types as drawn by AO
    • Fracture types as drawn by AO (cont.)
    • Bowing versus greenstick fracture
    • Bowing versus greenstick fracture
    • Factors that make a fracture unstable
    • Factors that make a fracture unstable
    • Both-bone fractures (22-D)
    • Both-bone fractures: treatment principles
    • Both-bone fractures: treatment options
    • Both-bone fractures: treatment options (cont.)
    • Both-bone fractures: decision logic
    • Both-bone fractures: decision logic
    • Cast wedging
    • Cast wedging
    • Isolated radius and ulna fractures
    • Bowing and greenstick: function decides
    • Bowing and greenstick: treatment options
    • Bowing and greenstick: treatment options
    • Complete single bone fractures
    • Oblique, spiral and multifragmentary
    • Oblique, spiral and multifragmentary
    • Monteggia lesion and Monteggia equivalent
    • Monteggia lesion (22u-D/6)
    • Monteggia lesion (22u-D/6)
    • Monteggia lesion: AO treatment strategy
    • Monteggia lesion: AO treatment strategy
    • Monteggia lesion: treatment options
    • Monteggia lesion: treatment options (cont.)
    • Closed treatment of the Monteggia lesion
    • Closed treatment of the Monteggia lesion
    • When the radial head will not stay reduced
    • When the radial head will not stay reduced
    • Monteggia equivalent
    • Monteggia equivalent
    • ESIN for the Monteggia equivalent
    • ESIN for the Monteggia equivalent
    • Operative and closed techniques
    • Closed reduction maneuvers
    • Closed reduction maneuvers
    • Long arm cast application
    • Long arm cast application
    • Checking the cast and wedging it
    • Checking the cast and wedging it
    • ESIN: principles and implants
    • ESIN: principles and implants
    • ESIN entry points
    • ESIN entry points
    • ESIN technique step by step
    • ESIN technique step by step
    • ESIN: pearls and pitfalls
    • ESIN: pearls and pitfalls
    • ESIN for both bones
    • ESIN for both bones
    • Plating: indications and approaches
    • Plating: indications and approaches
    • Approaches to the pediatric forearm
    • Approaches to the pediatric forearm
    • Compression plating of a transverse fracture
    • Compression plating of a transverse fracture
    • External fixation in the forearm
    • External fixation in the forearm
    • Aftercare and complications
    • Aftercare by treatment method
    • Aftercare by treatment method (cont.)
    • Compartment syndrome in children
    • Compartment syndrome in children
    • Suspected compartment syndrome in a cast
    • Suspected compartment syndrome in a cast
    • Forearm fasciotomy
    • Forearm fasciotomy
    • Pin sites, discharge and return to activity
    • Take-home messages
    • References (1 of 6)
    • References (2 of 6)
    • References (3 of 6)
    • References (4 of 6)
    • References (5 of 6)
    • References (6 of 6)
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    112 slides