Fractures and Dislocations About the Elbow

Green, Neil E.; Zeeland, Nathan L. Van

doi:10.1016/b978-1-4160-4900-5.10009-3

Cited by 23 publications

(16 citation statements)

References 191 publications

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“…Applying the mnemonic CRITOE, which refers to the sequence of appearance of six secondary ossification centers at the elbow (Table 3), can help pediatric providers with this. 22,23 However, one should be aware that these ages are approximations, and these injuries often occur somewhat earlier in girls.…”

Section: Elbow Fracturesmentioning

confidence: 99%

Pediatric Upper-Extremity Fractures

Arora¹,

Fichadia²,

Hartwig³

et al. 2014

Pediatr Ann

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Upper-extremity fractures account for more than half of childhood bony injuries. The frequency of injury increases with increasing mobility. The most common mechanism is a fall on an outstretched hand while playing. Optimal management requires knowledge of the normal anatomy and variants unique to pediatric bones. The physician needs to maintain a high level of suspicion for growth plate injuries because if unrecognized, these may result in growth arrest. Although the vast majority of pediatric upper-extremity fractures will heal rapidly with minimal intervention, physicians should be aware of the complications that can arise from these injuries.

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Section: Elbow Fracturesmentioning

confidence: 99%

Pediatric Upper-Extremity Fractures

Arora¹,

Fichadia²,

Hartwig³

et al. 2014

Pediatr Ann

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“…Generally, radial neck fractures in children are treated with a posterior splint or long-arm cast with the elbow in a flexed position when the angulation is <30°at the time of injury or after manual reduction [5,6,18]. However, the appropriate treatment for radial neck fractures in children with angulations >30°is debated; the prognosis is related not only to radial neck angulation but also to patient age and the intensity of trauma [19].…”

Section: Discussionmentioning

confidence: 99%

“…Although the Metaizeau method introduced in 1980 has achieved excellent results, it continues to be associated with problems, such as the risk of proximal physis injury, the difficulty of maintaining reduction and superficial radial nerve injury at the pin insertion site [1,4,[6][7][8][9][10]. Since the introduction of the technique by Feray [11] in 1969, percutaneous reduction and leverage fixation techniques for radial head and neck fractures in children have been further developed by Angelov [12] and Pesudo et al [13], but they are not used universally.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous reduction and leverage fixation using K-wires in paediatric angulated radial neck fractures

Min

Shin

Kim

et al. 2011

International Orthopaedics (SICOT)

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“…The brachial artery can be occluded, in spasm, entrapped, severed, or tethered by the proximal fragment of the supracondylar fracture before or after reduction. It was reported that the radial pulse is absent on initial presentation in 7% to 12% of patients with supracondylar fractures [14], but an occluded or tethered artery may recover with adequate fracture reduction [15] with the incidence of impaired circulation after an adequate fraction reduction less than 0.8% [8,14]. Decisions to explore the brachial artery surgically are based on extremity perfusion, not the presence or absence of a pulse [21].…”

Section: Limitationsmentioning

confidence: 99%