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Orthopaedics
Paediatric Proximal Forearm Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
2 sections · 108 slides
Overview
- Introduction
- Proximal forearm fractures in children
- Function at stake after injury
- Function at stake after injury
- Anatomy and growth
- Three linked articulations of the elbow
- Three linked articulations of the elbow
- Nerves at risk around the proximal forearm
- Nerves at risk around the proximal forearm
- Ossification and growth
- Ossification and growth
- Remodeling limits of the proximal radius
- Remodeling limits of the proximal radius
- Clinical and radiographic assessment
- Clinical examination
- Clinical examination
- Initial handling and radiographs
- Initial handling and radiographs
- Commonly overlooked injury patterns
- Commonly overlooked injury patterns
- Timing of treatment
- Timing of treatment
- Classification
- AO pediatric codes: proximal radius
- AO pediatric codes: proximal radius
- AO pediatric codes: ulna and both bones
- Injury groups of the proximal forearm
- Displacement grades I to III
- Displacement grades I to III
- Radial neck fractures
- Principles for radial neck fractures
- Principles for radial neck fractures
- Fracture types that need surgery
- Fracture types that need surgery
- Treatment options: radial neck fractures
- Treatment options: radial neck fractures (cont.)
- Decision logic for radial neck fractures
- Decision logic for radial neck fractures
- Approaches and ESIN of the radius
- Approaches to the proximal forearm
- Approaches to the proximal forearm
- Protecting the PIN in the lateral approach
- Protecting the PIN in the lateral approach
- ESIN: implants and entry points
- ESIN: implants and entry points
- Opening the canal and inserting the nail
- Opening the canal and inserting the nail
- Stepwise reduction of the radial head
- Stepwise reduction of the radial head
- Open reduction and nail fixation
- Open reduction and nail fixation
- Pitfalls of radial ESIN
- Pitfalls of radial ESIN
- Radial head fractures: SH III and IV
- SH III and IV fractures of the radial head
- SH III and IV fractures of the radial head
- Treatment options: SH III and IV
- Treatment options: SH III and IV (cont.)
- Screw fixation of the radial head
- Screw fixation of the radial head
- Open reduction and screw fixation steps
- Open reduction and screw fixation steps
- Proximal ulna fractures
- Torus, buckle and incomplete ulnar fractures
- Torus, buckle and incomplete ulnar fractures
- Complete fractures of the proximal ulna
- Treatment options: complete ulna fractures
- Treatment options: complete ulna fractures (cont.)
- Cerclage compression wiring: principle
- Cerclage compression wiring: principle
- Cerclage compression wiring steps
- Cerclage compression wiring steps
- Plating of multifragmentary olecranon
- Plating of multifragmentary olecranon
- Avulsion injuries of the proximal ulna
- Monteggia lesion and equivalents
- Monteggia lesion: definition
- Monteggia lesion: definition
- Principles of Monteggia treatment
- Treatment options: Monteggia lesion
- Treatment options: Monteggia lesion
- Closed reduction of a Monteggia lesion
- Closed reduction of a Monteggia lesion
- Operative sequence for Monteggia lesions
- Operative sequence for Monteggia lesions
- Monteggia equivalent
- Monteggia equivalent
- Monteggia equivalent: ESIN or plating
- Monteggia equivalent: ESIN or plating
- Radial neck plus olecranon fracture
Aftercare and complications
- Aftercare by treatment method
- Aftercare by treatment method
- Analgesia, discharge and mobilization
- Managing suspected compartment syndrome
- Managing suspected compartment syndrome
- Radial head and neck complications
- Radial head and neck complications
- Preventing and treating elbow stiffness
- Preventing and treating elbow stiffness
- 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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