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Lateral condyle humerus fracture

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https://www.readbyqxmd.com/read/27803229/lateral-closing-isosceles-triangular-osteotomy-for-the-treatment-of-a-post-traumatic-cubitus-varus-deformity-in-children
#1
Y Su, G Nan
AIMS: Cubitus varus is the most common late complication of a supracondylar fracture of the humerus in children. Correction can be performed using one of a number of techniques of osteotomy but each has disadvantages. We describe a new technique for correcting post-traumatic cubitus varus using a lateral closing wedge isosceles triangular osteotomy. PATIENTS AND METHODS: A lateral closing wedge isosceles triangular osteotomy was performed in 25 patients (15 male and ten female with a mean age of 9...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27742644/post-traumatic-fishtail-deformity-of-distal-humerus-is-there-a-risk-for-refracture
#2
Iqra Luqman, Harish Kurup
We present the case of fishtail deformity of distal humerus in a 13-year-old boy presenting with a refracture 8 years after the original surgically treated lateral condyle fracture. This unusual incomplete vertical fracture of distal humerus starting at the apex of fishtail was treated non-surgically and went on to union but refractured yet again 12 months later. This also went on to full healing with conservative treatment, however the fishtail deformity persists. We discuss the possibility that fishtail deformity reflects an inherent weakness in the distal humerus...
October 14, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27709875/common-errors-in-the-management-of-pediatric-supracondylar-humerus-fractures-and-lateral-condyle-fractures
#3
Gurpal S Pannu, Craig P Eberson, Joshua M Abzug, Bernard D Horn, Donald S Bae, Martin Herman
Supracondylar humerus fractures and lateral condyle fractures are the two most common pediatric elbow fractures that require surgical intervention. Although most surgeons are familiar with supracondylar humerus fractures and lateral condyle fractures, these injuries present challenges that may lead to common errors in evaluation and management and, thus, compromise outcomes. It is well agreed upon that nondisplaced supracondylar fractures (Gartland type I) are best managed nonsurgically with cast immobilization...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27709874/transphyseal-distal-humerus-fracture
#4
Joshua M Abzug, Christine Ann Ho, Todd F Ritzman, Brian Brighton
Transphyseal distal humerus fractures typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of a transphyseal distal humerus fracture is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiographs may aid in the diagnosis of a transphyseal distal humerus fracture. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27709222/pullout-strength-of-monocortical-and-bicortical-screws-in-metaphyseal-and-diaphyseal-regions-of-the-canine-humerus
#5
Denty Paul Vaughn, Jason Alan Syrcle, John E Ball, Steven H Elder, Jennifer Michele Gambino, Russell L Griffin, Ronald M McLaughlin
OBJECTIVE: Monocortical screws are commonly employed in locking plate fixation, but specific recommendations for their placement are lacking and use of short monocortical screws in metaphyseal bone may be contraindicated. Objectives of this study were to evaluate axial pullout strength of two different lengths of monocortical screws placed in various regions of the canine humerus compared to bicortical screws and to derive cortical thickness and bone density values for those regions using quantitative computed tomography analysis (QCT)...
October 6, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27603193/significance-of-the-lateral-humeral-line-for-evaluating-radiocapitellar-alignment-in-children
#6
Christopher D Souder, Joanna H Roocroft, Eric W Edmonds
BACKGROUND: The radiocapitellar line (RCL) was originally described for evaluation of the alignment of the RC joint on lateral images of the elbow. Although, many authors have translated the utilization of RCL into coronal imaging, previous studies have not been performed to confirm validity. The purpose of this paper was to identify an accurate way of evaluating pediatric RC alignment in the coronal plane. METHODS: Thirty-seven anteroposterior (AP) radiographs of 37 children were evaluated to determine the position of the RC joint in the coronal plane...
September 3, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27578381/posttraumatic-progressive-cubitus-varus-deformity-managed-by-lateral-column-shortening-a-novel-surgical-technique
#7
Amit Srivastava, Anil-Kumar Jain, Ish Kumar Dhammi, Rehan-Ul Haq
The outward angulation of elbow with supinated forearm is cubitus varus deformity. This deformity is often seen as sequelae of malunited supracondylar fracture of humerus in paediatric age group of 5e8 years. The deformity is usually non-progressive, but in cases of physeal injury or congenital bony bar formation in the medial condyle of humerus, the deformity is progressive and can be grotesque in appearance. Various types of osteotomies are defined for standard non-progressive cubitus varus deformity, while multiple surgeries are required for progressive deformity until skeletal maturity...
August 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27578052/biomechanical-properties-of-orthogonal-plate-configuration-versus-parallel-plate-configuration-using-the-same-locking-plate-system-for-intra-articular-distal-humeral-fractures-under-radial-or-ulnar-column-axial-load
#8
Toshiya Kudo, Akira Hara, Hideaki Iwase, Satoshi Ichihara, Masashi Nagao, Yuichiro Maruyama, Kazuo Kaneko
INTRODUCTION: Previous reports have questioned whether an orthogonal or parallel configuration is superior for distal humeral articular fractures. In previous clinical and biomechanical studies, implant failure of the posterolateral plate has been reported with orthogonal configurations; however, the reason for screw loosening in the posterolateral plate is unclear. The purpose of this study was to evaluate biomechanical properties and to clarify the causes of posterolateral plate loosening using a humeral fracture model under axial compression on the radial or ulnar column separately...
October 2016: Injury
https://www.readbyqxmd.com/read/27049207/common-errors-in-the-management-of-pediatric-supracondylar-humerus-fractures-and-lateral-condyle-fractures
#9
Gurpal S Pannu, Craig P Eberson, Joshua Abzug, Bernard D Horn, Donald S Bae, Martin Herman
Supracondylar humerus fractures and lateral condyle fractures are the two most common pediatric elbow fractures that require surgical intervention. Although most surgeons are familiar with supracondylar humerus fractures and lateral condyle fractures, these injuries present challenges that may lead to common errors in evaluation and management and, thus, compromise outcomes. It is well agreed upon that nondisplaced supracondylar fractures (Gartland type I) are best managed nonsurgically with cast immobilization...
2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27049206/transphyseal-distal-humerus-fracture
#10
Joshua Abzug, Christine Ann Ho, Todd F Ritzman, Brian Brighton
Transphyseal distal humerus fractures typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of a transphyseal distal humerus fracture is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiographs may aid in the diagnosis of a transphyseal distal humerus fracture. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/26894221/how-much-are-emergency-medicine-specialists-decisions-reliable-in-the-diagnosis-and-treatment-of-pediatric-fractures
#11
Mohsen Mardani-Kivi, Behzad Zohrevandi, Khashayar Saheb-Ekhtiari, Keyvan Hashemi-Motlagh
BACKGROUND: Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists' accuracy in the diagnosis and treatment of these patients. METHODS: From 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency department with elbow or distal radius fractures were enrolled. Initially, patients were examined by an emergency medicine specialist and then they were referred to an orthopedic surgeon...
January 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/26878499/focal-dome-osteotomy-for-correction-of-varus-deformity-at-elbow-in-children
#12
Mohammad Akhtar, Rana Dilawaiz Nadeem, Muhammad Usman Khalid, Rohail Mumtaz, Shafqat Wasim, Umar Anwer
BACKGROUND: Cubitus varus is the most common complication of un-treated or mal-treated supracondylar fracture of humerus at elbow. Various osteotomies have been described to correct this deformity but each is associated with its own complications. In this study, focal dome osteotomy for correction of cubitus varus was performed to determine its functional and radiological outcome. MATERIALS AND METHOD: In this study, 35 children with cubitus varus deformity were admitted from Jan 2009- Jan 2013...
November 2015: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/26808044/transphyseal-fracture-of-the-distal-humerus
#13
Joshua M Abzug, Christine A Ho, Todd F Ritzman, Brian K Brighton
Transphyseal fractures of the distal humerus typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of the injury is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiography can aid in the diagnosis of the injury. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
February 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/26511306/elbow-dislocation-with-ipsilateral-diaphyseal-forearm-bone-fracture-a-rare-injury-report-with-literature-review
#14
Vijay Goni, Prateek Behera, Umesh Kumar Meena, Nirmal raj Gopinathan, Narendranadh Akkina, R H H Arjun
Dislocation of the elbow along with shaft fractures of both bones of the ipsilateral forearm is a rare injury though elbow dislocation or fracture of the forearm bones may occur separately. Such injuries need a concentric reduction of the dislocation and an anatomical fixation of forearm bones for optimal functional outcomes. We report a case of elbow dislocation with fracture of the lateral condyle of the humerus along with fractures of shafts of the radius and ulna in a 44-year-old female. Closed reduction of the elbow and operative stabilization of all fractures were done with good clinical, radiological and functional outcomes in 2 years follow-up period...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/26090985/closed-reduction-and-percutaneous-pinning-versus-open-reduction-and-internal-fixation-for-type-ii-lateral-condyle-humerus-fractures-in-children-displaced-2-mm
#15
Andrew T Pennock, Lissette Salgueiro, Vidyadhar V Upasani, Tracey P Bastrom, Peter O Newton, Burt Yaszay
BACKGROUND: The optimal treatment for pediatric lateral condyle fractures displaced >2 mm, but with little joint displacement is unclear. The purpose of this study was to assess clinical and radiographic outcomes and complication rates of patients undergoing open reduction internal fixation (ORIF) versus closed reduction and percutaneous pin fixation (CRPP) of lateral condyle fractures with >2 mm of displacement and no obvious articular surface incongruity. METHODS: A retrospective review of all children with acute lateral condyle fractures with 2...
June 17, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26090977/rate-and-risk-factors-for-delayed-healing-following-surgical-treatment-of-lateral-condyle-humerus-fractures-in-children
#16
Lissette Salgueiro, Joanna H Roocroft, Tracey P Bastrom, Eric W Edmonds, Andrew T Pennock, Vidyadhar V Upasani, Burt Yaszay
BACKGROUND: Lateral condyle humerus fracture nonunion after surgical fixation has been reported to be <1%. The purpose of this study was to evaluate the rate and risk factors for delayed healing of pediatric lateral condyle fractures after surgical fixation. METHODS: Retrospective study of all operatively treated lateral condyle fractures at a single institution from 2006 to 2013 was performed. Radiographic evaluation included: measured fracture displacement at both presentation and after surgical fixation, fracture classification, and multiple parameters of pin configuration...
January 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/25985374/biomechanical-analysis-of-screws-versus-k-wires-for-lateral-humeral-condyle-fractures
#17
Ryne S Schlitz, Joseph M Schwertz, Alan W Eberhardt, Shawn R Gilbert
BACKGROUND: Good outcomes have been described for pediatric lateral condyle fractures treated by open reduction and fixation using either screws or Kirschner wires (K-wires). No studies have compared the biomechanical properties of the 2 fixation methods. We hypothesized that screw fixation would be more biomechanically stable than K-wire fixation. METHODS: Synthetic humerus models were used for biomechanical testing, following a previously published protocol. A miter saw was used to make an oblique cut to simulate a Milch type II fracture...
December 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/25983522/tardy-ulnar-nerve-palsy-after-fracture-non-union-medial-epicondyle-of-humerus-an-unusual-case
#18
Rajesh Thiyam, Rajesh Lalchandani
Tardy ulnar nerve palsy is a chronic clinical condition characterised by delayed onset ulnar neuropathy. Typically tardy ulnar nerve palsy occurs as a consequence of non-union of lateral condyle in child resulting in cubitus valgus deformity which ultimately is the cause of ulnar nerve palsy. However very few literature are available for tardy ulnar nerve palsy as a result of old fracture of medial epicondyle without cubitus varus or valgus deformity. We report a rare case of tardy ulnar nerve in an adult male with fracture non-union of medial epicondyle of humerus...
June 2015: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/25919805/unusual-humeral-medial-condyle-fracture-in-an-adolescent-because-of-a-previous-post-traumatic-fishtail-deformity-a-case-report
#19
REVIEW
Junko Otsuka, Emiko Horii, Shukuki Koh, Masayuki Hiroishi
A fishtail deformity is a well-known complication following pediatric lateral condyle fracture of the humerus. We report a rare case of a medial humeral condyle fracture in a 12-year-old boy who had had a fishtail deformity because of a lateral condyle fracture in childhood. Radiographs showed a longitudinal fracture plane of the medial condyle extending to the articular surface, which is different from the three types of medial condyle fracture classified by Kilfoyle. We present our case and reviewed the literature to clarify the difference in the mechanism of medial humeral condyle fracture after a fishtail deformity...
September 2015: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/25851688/reliability-and-effectiveness-of-smartphone-technology-for-the-diagnosis-and-treatment-planning-of-pediatric-elbow-trauma
#20
Ebrahim Paryavi, Brandon S Schwartz, Carissa L Meyer, Martin J Herman, Joshua M Abzug
BACKGROUND: Mobile imaging, such as viewing radiographs as text messages, is increasingly prevalent in clinical settings. The purpose of this study was to determine whether remote diagnosis of pediatric elbow fractures using smartphone technology is reliable. In addition, this study aimed to determine whether the assessment regarding the decision for operative treatment is affected by evaluation of images on a mobile device as opposed to standard picture archiving and communication system (PACS)...
July 2016: Journal of Pediatric Orthopedics
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