Although elbow injuries and fractures of the forearm are common in children, the combination of these injuries is rare. We present a case of a 5-year-old patient with a concomitant ipsilateral supracondylar humerus fracture and Monteggia lesion. After physical and radiographic examination of the injured extremity in the emergency department, closed reduction and percutaneous pinning were performed under image intensifier under general anaesthesia. A long-arm cast was applied for postoperative immobilisation. Excellent radiological and functional outcomes were obtained at the end of 1-year follow-up and no deformity was observed at 5-year follow-up.
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http://dx.doi.org/10.1136/bcr-2014-206313 | DOI Listing |
JBJS Essent Surg Tech
November 2024
St. Luke's University Health Network, Bethlehem, Pennsylvania.
Background: Flexible intramedullary nailing is an effective method of stabilization in pediatric patients with a humeral shaft fracture when surgery is indicated. Although these fractures are most often treated nonoperatively, operative indications include open fractures, bilateral injuries, compartment syndrome, pathologic fractures, neurovascular compromise, unacceptable alignment after attempted nonoperative treatment, and ipsilateral upper-extremity injuries. The current literature on flexible intramedullary nailing of the pediatric humeral shaft lacks concise descriptions of available entry points, which directly affect the subsequent technique, and of pertinent pediatric-specific anatomy.
View Article and Find Full Text PDFJ Pediatr Orthop
October 2024
Department of Orthopaedic Surgery, Indiana University Health, Indiana University School of Medicine, Indianapolis, IN.
Background: The treatment of supracondylar humerus (SCH) fractures is increasingly centralized in tertiary centers. Interfacility transfer from other facilities may occur by ground ambulance or privately owned vehicle (POV). The objective of this study was to determine if interfacility transfer by POV is equivalent in transfer time and perioperative complications compared with ground ambulance.
View Article and Find Full Text PDFJ Pediatr Orthop
September 2024
Division of Orthopedic Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.
Background: Pediatric supracondylar humerus (SCH; AO/OTA13-M/3.1) and medial epicondyle fractures (AO/OTA13u-M/7.1) are common.
View Article and Find Full Text PDFJ Orthop Case Rep
March 2024
Main Line Health Orthopedics and Spine, Lankenau Medical Center, Wynewood, Pennsylvania.
Introduction: Humeral shaft and distal humerus fractures have several different treatment options, including plate fixation and intramedullary nailing. Each has its own benefits, but typically, they are not used in conjunction. While nail-plate combinations (NPCs) have become more common in the lower extremity, literature on their use in upper extremity fractures remains scarce.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
May 2024
Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
Purpose: Intra-articular distal femur fractures in patients with a lower extremity amputation can present a technical challenge for the treating surgeon in what may be otherwise considered a routine procedure in non-amputees. Difficulties with positioning, fracture reduction, limb contractures, and stump osteoporosis can present challenges with treatment. Here, we describe the surgical technique and outcome of a case series of amputee patients with AO/OTA 33C femur fractures.
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