PAEDIATRIC ELBOW FRACTURES
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Transcript of PAEDIATRIC ELBOW FRACTURES
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PAEDIATRIC ELBOW FRACTURES
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CLINICAL
History of traumaExamination
◦Neuro: pinch, O, thumbs up◦Arterial:
◦“Healthy index of suspicion of unwitnessed events” NAI Incidental trauma: infection/ other pathology.
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XraysAP+LAT +/- IR OBLFat padsRelationship radius-capitellumLong axis ulna in line with and medial to long axis humerus on APAnt humeral line bisects capitellumBaumann’s angle
DON’T ACCEPT SUBSTANDARD XRAYS
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Baumann’s angle
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Relationship ulna to humerus on AP
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CRITOL
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Lateral condyle #
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Lateral condyle #Seen best on IR ObliqueORIF if 2mm displacementRisk late displacementImmobilise 5-6/52
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Radial neck #<30 degrees: accept.
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Monteggia #Early detection imperative
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Monteggia #
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Monteggia #
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Monteggia #
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Monteggia #
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Monteggia #
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Monteggia #
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Monteggia #
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Medial epicondyle #Large medial soft tissue swellingBeware young child: <5: ? Medial condyle
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Supracondylar #
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Supracondylar #
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RARE flexion supracondylar
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Transphyseal #Young. Association abuse.Looks like dislocation.
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Thank you