Elbow Fractures in Children - Orthopaedic Trauma …：儿童肘部骨折创伤骨科….pptVIP

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Elbow Fractures in Children - Orthopaedic Trauma …：儿童肘部骨折创伤骨科….ppt

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Elbow Fractures in Children - Orthopaedic Trauma …：儿童肘部骨折创伤骨科…

Medial Epicondyle Fracture Elbow dislocation with Medial Epicondyle Avulsion Treated with ORIF Medial Epicondyle FractureExample of Nonoperative Treatment 12 year old female UE weight bearing athlete Treated nonoperatively Full motion, no valgus instability at 6 weeks Returned to competition at 8 weeks Olecranon Fractures Relatively rare fracture in children Increased incidence in children with OI May be associated with elbow subluxation/ dislocation, or radial head fracture The diagnosis may be difficult in a younger child Olecranon does not ossify until 8-9 years In older children, the fracture may occur through the olecranon physis Anatomic reduction is necessary in displaced fractures to restore normal elbow extension. Caterini. Fractures of the olecranon in children. Long-term follow-up of 39 cases. J Pediatr Orthop B. 2002;11:320. Olecranon Fractures Olecranon fracture treated with ORIF in 14 year old, with tension band fixation. Parent. Displaced olecranon fractures in children: a biomechanical analysis of fixation methods. J Pediatr Orthop. 2008;28:147. Rare Distal Humeral Fractures Lateral Epicondyle Rare Usually represent a small avulsion fracture Treated with early mobilization T-Condylar fractures Occur in patients that are almost skeletally mature Treatment similar to adult intra-articular elbow fractures Medial Condyle Rare Treated with ORIF if displaced Beaty JH. Elbow fractures in children and adolescents. Instr Course Lect. 2003;52:661–665. Proximal Radius Fractures 1% of children’s fractures 90% involve physis or neck Normally some angulation of head to radial shaft (0-15 degrees) No ligaments attach to head or neck Much of radial neck extraarticular (no effusion with fracture) Vocke. Displaced fractures of the radial neck in children: long-term results and prognosis of conservative treatment. J Pediatr Orthop B. 1998;7:217. Proximal Radius FracturesTypes Valgus fractures Salter I or II Intra-articular fractures rare Metaphyseal fractures A