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Orthopaedics
Paediatric Proximal Humerus Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
2 sections · 93 slides
Overview
- Introduction
- Proximal humeral fractures in children
- Scope of this seminar
- Anatomy and the physis
- Ossification of the proximal humerus
- Ossification of the proximal humerus
- The proximal humeral physis
- Fracture type according to age
- Axillary nerve
- Axillary nerve
- Other structures at risk
- Other structures at risk
- Clinical and radiological assessment
- History and symptoms
- History and symptoms
- Examination of the limb
- Imaging of the proximal humerus
- Imaging of the proximal humerus
- Imaging goals in physeal injury
- Imaging goals in physeal injury
- AO pediatric classification
- AO pediatric codes: proximal humerus
- Type tree for the proximal humerus
- Fracture types as drawn by AO
- Epiphysiolysis (Salter-Harris I and II)
- Salter-Harris I: epiphysiolysis
- Salter-Harris I: epiphysiolysis
- Salter-Harris II: with metaphyseal wedge
- Salter-Harris II: with metaphyseal wedge
- Indications for surgery: SH I and II
- Indications for surgery: SH I and II
- Treatment options: SH I and II
- Treatment options: SH I and II (cont.)
- Decision logic: SH I and II
- Torus/buckle and greenstick fractures
- Torus/buckle versus greenstick fracture
- Torus/buckle versus greenstick fracture
- Treatment of torus and greenstick fractures
- Complete metaphyseal fractures
- Simple complete metaphyseal fracture
- Simple complete metaphyseal fracture
- Multifragmentary metaphyseal fracture
- Multifragmentary metaphyseal fracture
- Remodeling and acceptable displacement
- Indications for surgery: complete fractures
- Treatment options: complete fractures
- Treatment options: complete fractures (cont.)
- Decision logic: complete fractures
- Decision logic: complete fractures
- Preparation, positioning and approaches
- Information for the patient and family
- Surgical planning checklist
- Supine versus beach chair position
- Supine versus beach chair position
- Approaches to the proximal humerus
- Approaches to the proximal humerus
- Deltopectoral approach: steps
- Deltopectoral approach: steps
- Deltopectoral approach: pitfalls
- Deltopectoral approach: pitfalls
- Lateral and anterolateral deltoid splits
- Lateral and anterolateral deltoid splits
- Reduction and fixation techniques
- Closed and open reduction
- Closed and open reduction
- K-wire principles in children
- K-wire principles in children
- K-wire fixation: steps
- K-wire fixation: steps
- K-wire insertion technique
- K-wire insertion technique
- Elastic nailing: principles
- Elastic nailing: principles
- Elastic nailing: entry points
- Elastic nailing: entry points
- Elastic nailing: steps
- Elastic nailing: steps
- Elastic nailing: tip position
- Elastic nailing: tip position
Aftercare and complications
- Methods of immobilization
- Methods of immobilization
- Aftercare by treatment
- Aftercare by treatment
- Elastic nail removal
- Elastic nail removal
- Complications and technical failures
- Take-home messages
- References (1 of 4)
- References (2 of 4)
- References (3 of 4)
- References (4 of 4)
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