Pediatric Fractures Dislocations and Sequelae by Scott H. Kozin MD

By Scott H. Kozin MD

Treating damaged bones in kids is varied than treating bone in adults. kid's periosteum has a wealthy blood offer which accelerates the therapeutic approach and should hinder residual therapeutic deformity. nevertheless, their development plate is a space to be watched conscientiously because it is delicate to trauma. Scott H. Kozin, MD, from Shriners health facility in Philadelphia, has meticulously edited chapters you can find informative and instructive. you will discover chapters on how you can deal with fractures of the scaphoid, elbow, wrist, hands and thumb, treating deformities, palsies and extra. keywords: Volkman's ischemic contracture, nerve palsies, top extremity fractures, wrist deformities, supracondylar and condylar humerus, distal radius, phalanges, thumb ray, scaphoid

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9] White GM. Ligamentous avulsion of the ulnar collateral ligament of the thumb of a child. J Hand Surg [Am] 1986;11:669–72. [10] Crick JC, Franco RS, Conners JJ. Fractures about the interphalangeal joints in children. J Orthop Trauma 1987;1:318–25. [11] Billing L, Gedda KO. Roentgen examination of Bennett’s fracture. Acta Radiol 1952;38:471–6. [12] Greulich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist. 2nd edition. Stanford, CA: Stanford University Press; 1959.

When present, TFCC injuries may be the source of ulnar-sided wrist pain in the child or adolescent. A thoughtful, organized clinical approach to these The TFCC refers to a convergence of structures on the ulnar side of the wrist that serve to support the ulnocarpal articulation and stabilize the DRUJ. First described by Palmer and Werner, these structures include the triangular fibrocartilage, the dorsal and volar radioulnar ligaments, the meniscal homolog, the ulnolunate and ulnotriquetral ligaments, and the subsheath of the extensor carpi ulnaris (ECU) tendon [36].

The preference at the authors’ institution is to use above-elbow casts. The published recommendations of what constitutes acceptable alignment are highly variable, and there continues to be discussion and controversy regarding the indications for fracture manipulation and surgical treatment. In general, most authorities agree that up to 20 to 25 of angulation in the sagittal plane and translational displacement of up to 50% of the cortical diameter reliably remodel and may be accepted in patients who have greater than 2 years of remaining skeletal growth.

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