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https://www.readbyqxmd.com/read/28436285/musculoskeletal-injuries-associated-with-hoverboard-use-in-children
#1
Cecilia Monteilh, Prina Patel, John Gaffney
Hoverboards burst onto the scene with wide popularity only to be quickly deemed unsafe and banned in many arenas. We conducted a retrospective cohort study of 35 patients seen in our outpatient pediatric orthopedic office over a 1-year period. The mean age of injured patients was 11.14 years; 18 patients were male (51.4%), and 17 were female (48.5%). The highest number of injuries occurred in children 10 to 14 years old who had 57.1% of the injuries. There were a total of 31 fractures in 27 patients. Most of the fractures were in the upper extremities (93...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28435584/intra-articular-entrapment-of-medial-epicondyle-fracture-fragment-in-elbow-joint-dislocation-causing-ulnar-neuropraxia-a-case-report
#2
J Syed, A R Zamri, S Jamaluddin, J K Ruben, M Gopindran
Traumatic elbow dislocations in children are rare but most of them are complex dislocations, and in such dislocations, medial humerus epicondyle fractureis the most common associated injury. Fracture incarceration in the elbow joint occurs in 5-18% of medial humerus epicondyle fractures but ulnar neuropraxia is very rare. Open reduction internal fixation is indicated in medial humerus epicondyle fracture with fracture incarceration, ulnar neuropraxia, marked instability or open fracture. Operative treatment options include fragment excision and sutures, closed or open reduction and Kirschner wire fixation, open reduction and suture fixation, open reduction and smooth pin fixation, and open reduction and screw fixation...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28435560/humeral-supracondylar-fractures-in-children-a-novel-technique-of-lateral-external-fixation-and-kirschner-wiring
#3
R Y Kow, A R Zamri, J K Ruben, S Jamaluddin, M T Mohd-Nazir
Introduction: Supracondylar fracture of the humerus is the most common fracture around the elbow in children. Pinning with Kirschner wires (K-wires) after open or closed reduction is generally accepted as the primary treatment modality. However, it comes with the risk of persistent instability and if the K-wire is not inserted properly, it may cause displacement and varus deformity. We present our two-year experience with a new technique of lateral external fixation and K-wiring of the humeral supracondylar fracture...
July 2016: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28391440/paediatric-lateral-humeral-condylar-fracture-outcomes-at-twelve-years-follow-up-as-compared-with-age-and-sex-matched-paired-controls
#4
Juha-Jaakko Sinikumpu, Tytti Pokka, Sarita Victorzon, Eija-Leena Lindholm, Willy Serlo
INTRODUCTION: Lateral humeral condylar fractures are the second most common elbow fractures in children. We present the long-term clinical and radiographic results. MATERIAL AND METHODS: All children (<16 years) in the geographic catchment area with lateral condylar fracture were asked to participate and 32 (76.2%) patients enrolled. Clinical and functional results are compared with randomly selected but age and sex matched normal controls at 12.4 years (range 10...
April 8, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28326443/radiological-clinical-and-functional-evaluation-using-the-quick-disabilities-of-the-arm-shoulder-and-hand-questionnaire-of-children-with-medial-epicondyle-fractures-treated-surgically
#5
Federico Canavese, Lorenza Marengo, Alexandru Tiris, Mounira Mansour, Marie Rousset, Antoine Samba, Antonio Andreacchio, Alain Dimeglio
PURPOSE: The main goal of this study was to retrospectively evaluate the clinical, functional and radiographic outcomes of displaced medial epicondyle fractures with or without associated elbow dislocation in children undergoing surgical treatment and to evaluate upper-extremity function with the Quick Disbilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire. The hypothesis was that patients with associated elbow dislocation would have similar functional outcome to patients with displaced fractures with or without intra-articular entrapment of the medial epicondyle...
March 22, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28296780/type-iii-monteggia-fracture-with-posterior-interosseous-nerve-injury-in-a-child-a-case-report
#6
Jing Wang, Min Chen, Jiang Du
RATIONALE: Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail. PATIENT CONCERNS: Herein, we present a 6-year-old boy with sustaining injury approximately 1 month to his left elbow. Activity in his elbow was restricted, and his ability to extend his wrist and fingers was impaired. DIAGNOSES: Type III Monteggia elbow fracture-dislocation consisting of radial head dislocation and malunion of the ulna associated with posterior interosseous nerve palsy were confirmed, which requiring surgical treatment...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28288688/postoperative-brachial-artery-entrapment-associated-with-pediatric-supracondylar-fracture-of-the-humerus-a-case-report
#7
David Latz, Jan Grassmann, Erik Schiffner, Sebastian Gehrmann, Mansur Duran, Joachim Windolf, Pascal Jungbluth
BACKGROUND: Severely displaced supracondylar fractures of the humerus in children are frequently associated with complications including neurovascular injuries, non-union, or compartment syndrome. In the current literature, no report exists about postoperative brachial artery entrapment in combination with an inconspicuous preoperative neurovascular examination. CASE PRESENTATION: We present a case of a 6-year-old white boy with a pulseless radial and ulnar artery after open reduction and internal fixation of a severely displaced supracondylar fracture of his right humerus (Gartland type III) using four K-wires...
March 14, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28244924/humerus-lengthening-with-the-precice-internal-lengthening-nail
#8
Anton M Kurtz, S Robert Rozbruch
BACKGROUND: Deformity and growth arrest of the humerus in children may result as sequelae of proximal humerus fractures and unicameral bone cysts, or as complications of their treatment. As approximately 80% of the growth of the humerus arises from the proximal physis, the resultant upper limb-length discrepancy can be substantial. Benefits to lengthening the shortened arm have been previously demonstrated with the use of external fixation devices. To our knowledge, no reports have been published on the use of intramedullary implants for this purpose...
February 27, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28205477/radiocapitellar-impingement-after-a-pediatric-type-ii-capitellar-fracture
#9
Chul-Hyun Cho, Beom-Soo Kim, Kwang-Soon Song
We present a case of radiocapitellar impingement caused by osteochondral fragment after type II capitellar fracture. Painful extension limitation of the elbow was treated successfully by diagnostic arthroscopy and mini-open removal of loose body. A displaced type II capitellar fracture in children is extremely rare, but must be carefully diagnosed and treated.
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28178167/intercondylar-fracture-of-the-distal-humerus-in-a-7-year-old-child-a-case-report-and-a-review-of-the-literature
#10
Yuji Tomori, Yoshihiro Sudo, Norishige Iizawa, Mitsuhiko Nanno, Shinro Takai
RATIONALE: Intercondylar fracture of the distal humerus is an extremely rare injury in children, especially in those under 8 years of age. To our best knowledge, there have been 55 reported cases of this fracture type in children in the English literature, 12 of which involved children under 8 years of age. PATIENT CONCERNS: We report a case of intercondylar fracture of the distal humerus in a7-year-old boy fell in a gymnasium, injuring his left elbow. INTERVENTIONS: Closed reduction was initially attempted under fluoroscopic guidance, but anatomic reduction could not be achieved because the fragments were extremely unstable and irreducible...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28174223/fall-related-attendance-and-associated-hospitalisation-of-children-and-adolescents-in-hong-kong-a-12-year-retrospective-study
#11
James Chun-Yin Lee, Keith Tsz-Suen Tung, Tim M H Li, Frederick Ka-Wing Ho, Patrick Ip, Wilfred Hing-Sang Wong, Chun-Bong Chow
OBJECTIVES: The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong. DESIGN: A retrospective approach was adopted. SETTING: AED, involving all local public emergency departments from 2001 to 2012. PARTICIPANTS: 63 557 subjects aged 0-19 years with fall injury record were included in the analysis...
February 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28168131/radiological-and-functional-outcome-of-medial-epicondyle-fracture-treated-surgically-in-children-and-adolescents-a-retrospective-study
#12
Sagar Panthi, Kishor Khatri, Krishna Kharel, Raju Vaishya, Amit Kumar Agarwal, Vipul Vijay
PURPOSE: Fractures of the medial humeral epicondyle represent approximately 10% of all pediatric elbow fractures. Surgically treated pediatric fractures of the medial humeral epicondyle were analyzed retrospectively for their epidemiological, clinical, radiological and surgical parameters. The evaluation includes the Mayo elbow performance score (MEPS). METHODS: Twenty-five surgically treated fractures of the medial humeral epicondyle were analyzed...
January 4, 2017: Curēus
https://www.readbyqxmd.com/read/28166167/stepwise-percutaneous-leverage-technique-to-avoid-posterior-interosseous-nerve-injury-in-pediatric-radial-neck-fracture
#13
Wan-Sun Choi, Kyeong-Jin Han, Doo-Hyung Lee, Ga-Eun Lee, Heon-Ju Kweon, Jae-Ho Cho
OBJECTIVES: To introduce a stepwise percutaneous leverage technique to avoid posterior interosseous nerve (PIN) injury in pediatric patients with radial neck fractures and to evaluate the clinical outcome and the predisposing factors affecting the outcome. DESIGN: Retrospective case series study. SETTING: University level 1 trauma center. PATIENTS: Thirty-four children with a radial neck fracture, who were treated using a stepwise percutaneous leverage technique, were included in the study...
May 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28164054/a-very-rare-presentation-of-type-1-monteggia-equivalent-fracture-with-ipsilateral-fracture-of-distal-forearm-approach-with-outcome-case-report
#14
Dhananjay Singh, Bhanu Awasthi, Vikas Padha, Sanjay Thakur
INTRODUCTION: We report a case of Type 1 Monteggia equivalent injury with intact radio-capitellar congruity, associated with epiphyseal fracture of distal radius and distal ulna shaft in an 11-year-old boy. There are only a few cases of Monteggia or Monteggia equivalent injury with ipsilateral forearm fractures in children, and injury pattern being reported by us is not only rare but also the only case reported thus far to the best of our knowledge, Sood et al. described Type 1 equivalent with epiphyseal injuries of both radius and ulna Osada et al...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28162172/-radiographic-and-clinical-assessment-of-supracondylar-humeral-fractures-resulted-from-sports-in-children
#15
Z J Liu, S N Pan, L J Zhang
Objective: To investigate the radiographic and clinical assessment for supracondylar humeral fractures resulted from sports in children. Methods: The medical records of 166 patients with displaced supracondylar humerus fractures treated in Shengjing Hospital of China Medical University from January 2015 to December 2015 were reviewed.The etiology of 56 of 166 cases was relevant to the sports.Medical records of 56 of 166 patients were reviewed, incluidng gender, the mean age of patient at the time of surgery, the mean duration of injury, radiographic assessment based on the anteroposterior (AP) and lateral radiographs of the elbow, neurologic injury, the Mayo Elbow Performance Score (MEPS) and the criteria of Flynn...
January 17, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28138434/concurrent-lateral-condyle-mass-fracture-with-olecranon-fracture-a-case-report-and-brief-review-of-literature
#16
Munir Farooq, Younis Kamal, Hayat Ahmad Khan, Naseemul Gani, Adil Bashir Shah, Mohammed Ashraf Khan, Shahid Bhat
INTRODUCTION: There is very limited literature describing the association of lateral condyle mass (LCM) fracture of the distal humerus associated concurrently with olecranon fracture. Herein, a case is reported of a displaced LCM fracture with displaced olecranon fracture, due to complex trauma while getting out of a vehicle, which was managed by open reduction and internal fixation. CASE PRESENTATION: A 4.5- year- old boy suffered severe pain and swelling around his right elbow due to trauma which he suffered while trying to get out of a vehicle which was in motion...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/28117081/post-traumatic-forearm-nonunion-in-healthy-skeletally-immature-children-a-report-on-15-cases
#17
Giovanni Luigi Di Gennaro, Stefano Stilli, Giovanni Trisolino
BACKGROUND: Nonunion is a rare but severe complication following forearm fracture in skeletally immature patients. The purpose of this study is to describe a case series of pediatric forearm nonunions treated at our Institute. MATERIALS AND METHOD: We retrospectively reviewed medical charts and radiographs of healthy children affected by post-traumatic nonunion of the forearm, from April 1992 to July 2015. An overall series of 15 cases was included in the study...
January 9, 2017: Injury
https://www.readbyqxmd.com/read/28104093/surgical-management-of-delayed-irreducible-gartland-iii-supracondylar-fractures-in-children-open-reduction-and-internal-fixation-versus-external-fixation
#18
COMPARATIVE STUDY
Jin Li, DeHao Fu, Chong Yu, ShangYu Wang, RenHao Ze, Xin Tang
BACKGROUND: Percutaneous pinning has been accepted as the "gold standard" for displaced supracondylar humeral fracture (SHF) in children. However, to secure an anatomic reduction and to reduce the rotated fragment, open reduction is often necessary when there is inadequate stabilization or a satisfactory reduction has failed to be achieved. The study aimed to compare the efficacy of the open reduction and bioabsorbable poly-d,l-lactic acid (PDLLA) pin fixation method with the closed reduction and lateral external fixation method in irreducible delayed Gartland type III SHF in children...
February 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28072734/closed-reduction-using-the-percutaneous-leverage-technique-and-internal-fixation-with-k-wires-to-treat-angulated-radial-neck-fractures-in-children-case-report
#19
Hai Jiang, Yongtao Wu, Youting Dang, Yusheng Qiu
Pediatric radial neck fractures are uncommon. Severely displaced and angulated fractures usually require treatment. Our goals for treatment are to avoid incision, reduce the fracture adequately with no reduction loss, and achieve good postoperative function. We aimed to observe the clinical outcomes of closed reduction with the percutaneous leverage technique and internal fixation with Kirschner-wires (K-wires) to treat angulated radial neck fractures in children.From January 2011 to April 2013, we treated 16 cases of angulated radial neck fracture in 12 boys and 4 girls...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28045839/the-use-of-magnetic-resonance-imaging-in-management-of-minimally-displaced-or-nondisplaced-lateral-humeral-condyle-fractures-in-children
#20
Gregory Haillotte, Manon Bachy, Marion Delpont, Reda Kabbaj, Hubert Ducou le Pointe, Raphaël Vialle
OBJECTIVES: Fractures of the lateral humeral condyle are common in children. Nondisplaced fractures are managed with cast immobilization and frequent radiographic follow-up. Possibility of assessing the displacement and stability of such fractures may be helpful in planning the initial treatment and survey. Magnetic resonance imaging (MRI) could be a useful tool in determining the stability of lateral condyle in children. We propose to investigate the use of MRI in such indication. METHODS: Fourteen patients presenting with a minimally displaced or nondisplaced fracture were initially treated with a long arm cast and had an MRI within 5 days of injury...
January 2017: Pediatric Emergency Care
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