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Orthopaedics

Paediatric Humeral Shaft Fractures (AO Based)

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

What’s inside

1 sections · 100 slides

  1. 01

    Overview

    • Introduction
    • Humeral shaft fractures in children
    • General principles of management
    • Anatomy and remodeling
    • Neurovascular anatomy of the humeral shaft
    • Neurovascular anatomy of the humeral shaft
    • Nerve position changes with age
    • Nerve position changes with age
    • Remodeling of the humeral shaft
    • Remodeling of the humeral shaft
    • Acceptable residual deformity
    • Clinical and radiological assessment
    • History and mechanism of injury
    • Symptoms, signs and examination
    • Symptoms, signs and examination
    • Radiological evaluation
    • Radiological evaluation
    • Assessment sequence
    • Classification
    • AO pediatric codes: humeral shaft
    • AO pediatric codes: humeral shaft
    • Humeral shaft fracture groups
    • Humeral shaft fracture groups
    • Treatment options and decision logic
    • Nonoperative options
    • Nonoperative options
    • Elastic nailing options
    • Elastic nailing options
    • External fixation and plating
    • External fixation and plating
    • Choosing treatment by patient
    • Elastic nailing direction by level
    • Elastic nailing direction by level
    • Nonoperative treatment
    • Body binder or sling
    • Body binder or sling
    • Splint, brace or cast
    • U-slab (coaptation) splint application
    • U-slab (coaptation) splint application
    • Sarmiento brace
    • Sarmiento brace
    • Hanging cast
    • Hanging cast
    • Aftercare after immobilization
    • Elastic stable intramedullary nailing
    • ESIN principles and implants
    • ESIN principles and implants
    • Antegrade nailing: entry points
    • Antegrade nailing: entry points
    • Antegrade elastic nailing: steps
    • Antegrade elastic nailing: steps
    • Retrograde lateral nailing
    • Retrograde lateral nailing
    • Retrograde medial and lateral nailing
    • Retrograde medial and lateral nailing
    • Final nail position and checks
    • Final nail position and checks
    • Elastic nailing: multifragmentary fractures
    • Elastic nailing: multifragmentary fractures
    • Aftercare and nail removal
    • Aftercare and nail removal
    • Plating, approaches and external fixation
    • Indications for plating in children
    • Preoperative preparation
    • Patient positioning
    • Patient positioning
    • Plate position by fracture level
    • Plate position by fracture level
    • Anterolateral approach
    • Anterolateral approach
    • Posterior approach
    • Posterior approach
    • Triceps sparing versus triceps split
    • Triceps sparing versus triceps split
    • Compression plating technique
    • Compression plating technique
    • Why the plate is overbent
    • Why the plate is overbent
    • Bridge plating: steps
    • Bridge plating: steps
    • Aftercare after plating
    • External fixation: indications and pins
    • Safe pin placement by segment
    • Safe pin placement by segment
    • Complications
    • Complications and technical failures
    • Radial nerve injury: types and risk
    • Radial nerve injury: types and risk
    • Radial nerve injury: diagnosis
    • Radial nerve injury: diagnosis
    • Radial nerve palsy: management
    • Recovery and rehabilitation of the nerve
    • Preventing iatrogenic nerve injury
    • Preventing iatrogenic nerve injury
    • Take-home messages
    • References (1 of 4)
    • References (2 of 4)
    • References (3 of 4)
    • References (4 of 4)
    • Join our WhatsApp groups

    100 slides