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Orthopaedics
Paediatric Distal Forearm Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
2 sections · 109 slides
Overview
- Introduction
- Scope of distal forearm fractures
- Mechanism and presentation
- Mechanism and presentation
- Anatomy
- Posterior soft-tissue anatomy
- Posterior soft-tissue anatomy
- Anterior anatomy and bony landmarks
- Anterior anatomy and bony landmarks
- Soft tissues that block closed reduction
- Soft tissues that block closed reduction
- Clinical and radiographic assessment
- Examination and associated injuries
- Galeazzi variant: direction of ulnar head
- Galeazzi variant: direction of ulnar head
- Nonaccidental injury in infants
- Imaging for each fracture pattern
- Imaging for each fracture pattern
- Classification, physis and remodeling
- Metaphyseal codes (M)
- Epiphyseal codes (E)
- Type tree of the distal forearm (23)
- Type tree of the distal forearm (23)
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Remodeling and acceptable alignment
- Remodeling and acceptable alignment
- Protecting the physis
- Protecting the physis
- Torus/buckle and greenstick (M/2.1)
- Torus versus greenstick fracture
- Torus versus greenstick fracture
- Treatment options for M/2.1
- Treatment options for M/2.1
- Splint protocol for torus fractures
- Splint protocol for torus fractures
- Complete metaphyseal fractures (M/3)
- Simple complete fractures of both bones
- Options for 23-M/3.1 (both bones)
- Options for 23-M/3.1 (both bones) (cont.)
- Decision logic for simple complete fractures
- Simple complete fractures of the radius
- Simple complete fractures of the ulna
- Simple complete fractures of the ulna
- Multifragmentary complete fractures (M/3.2)
- Multifragmentary complete fractures (M/3.2)
- Physeal injuries: Salter-Harris I and II
- Salter-Harris I injuries (E/1.1)
- Salter-Harris II injuries (E/2.1)
- Salter-Harris II injuries (E/2.1)
- Options for Salter-Harris II (23r-E/2.1)
- Options for Salter-Harris II (23r-E/2.1) (cont.)
- Reduction pitfalls in physeal injuries
- Reduction pitfalls in physeal injuries
- SH III, SH IV and styloid avulsion
- Features of Salter-Harris III and IV
- Features of Salter-Harris III and IV
- Options for Salter-Harris III and IV
- Options for Salter-Harris III and IV
- Decision logic for intraarticular fractures
- Decision logic for intraarticular fractures
- Ulnar styloid avulsion
- Ulnar styloid avulsion
- Operative techniques
- Supine positioning and set-up
- Supine positioning and set-up
- Closed reduction of a displaced fracture
- Closed reduction of a displaced fracture
- Percutaneous K-wire fixation of the radius
- Percutaneous K-wire fixation of the radius
- K-wire pearls and pitfalls
- K-wire pearls and pitfalls
- Volar (modified Henry) approach
- Volar (modified Henry) approach
- Volar approach: pitfalls and closure
- Volar approach: pitfalls and closure
- Ulnar approach to the distal ulna
- Ulnar approach to the distal ulna
- Plate fixation in the adolescent radius
- Plate fixation in the adolescent radius
- Plating principles in children
- Plating principles in children
- Open reduction of SH III and IV fractures
- Open reduction of SH III and IV fractures
- Joint-spanning external fixator: set-up
- Joint-spanning external fixator: set-up
- Applying the wrist external fixator
- Applying the wrist external fixator
Casting, aftercare and complications
- Applying a molded long arm cast
- Applying a molded long arm cast
- Splitting the cast
- Splitting the cast
- Cast aftercare and warning signs
- Cast aftercare and warning signs
- Follow-up and implant timing
- Compartment syndrome in children
- Compartment syndrome in children
- Volar forearm dermato-fasciotomy
- Volar forearm dermato-fasciotomy
- 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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