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PAEDIATRIC ELBOW FRACTURES

PAEDIATRIC ELBOW FRACTURES. History of trauma Examination Neuro : pinch, O, thumbs up Arterial: “Healthy index of suspicion of unwitnessed events” NAI Incidental trauma: infection/ other pathology. CLINICAL.

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PAEDIATRIC ELBOW FRACTURES

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  1. PAEDIATRIC ELBOW FRACTURES

  2. History of trauma • Examination • Neuro: pinch, O, thumbs up • Arterial: • “Healthy index of suspicion of unwitnessed events” • NAI • Incidental trauma: infection/ other pathology. CLINICAL

  3. XraysAP+LAT +/- IR OBL Fat pads Relationship radius-capitellum Long axis ulna in line with and medial to long axis humerus on AP Ant humeral line bisects capitellum Baumann’s angleDON’T ACCEPT SUBSTANDARD XRAYS

  4. Baumann’s angle

  5. Relationship ulna to humerus on AP

  6. CRITOL

  7. Lateral condyle #

  8. Lateral condyle #Seen best on IR Oblique ORIF if 2mm displacement Risk late displacement Immobilise 5-6/52

  9. Radial neck # <30 degrees: accept.

  10. Monteggia # Early detection imperative

  11. Monteggia #

  12. Monteggia #

  13. Monteggia #

  14. Monteggia #

  15. Monteggia #

  16. Monteggia #

  17. Monteggia #

  18. Medial epicondyle #Large medial soft tissue swellingBeware young child: <5: ? Medial condyle

  19. Supracondylar #

  20. Supracondylar #

  21. RARE flexion supracondylar

  22. Transphyseal #Young. Association abuse.Looks like dislocation.

  23. Thank you

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