1,734 results match your criteria: "Elbow Trauma Pediatric"

13-year-old-male with a left open humerus fracture with concomitant intramuscular mid-substance biceps rupture: A case report.

Trauma Case Rep

December 2024

Yale University, Department of Orthopaedics and Rehabilitation, New Haven, CT 06510, United States of America.

A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair.

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The safety of humeroradial fixation using Kirschner wires in children.

Sci Rep

December 2024

Orthopedics Department, Children's Hospital of Chongqing Medical University, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Jiangxi Hospital Affiliated Children's Hospital of Chongqing Medical University, Chongqing, China.

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An increase in paediatric arthroscopy in Europe: Experience of the EPOS Sport Study Group.

J Child Orthop

November 2024

Pediatric Orthopedic Department, Hôpital des Enfants de Toulouse, Toulouse, France.

Purpose: Paediatric musculoskeletal injuries in association with increased participation in sports activities continue to increase. Arthroscopy is recognized as a safe and effective procedure in children. This study aims to identify trends in European paediatric sports centres over 20 years.

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A pulled elbow is a common type of injury in children aged one to four years, where the forearm is pulled in an extended pronated position. There are a few cases of pulled elbow reported in children under one year old. We experienced an atypical pulled elbow case in a six-month-old girl after her mother rolled her from a right lateral position to a supine position, leaving her arm trapped behind her back.

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Article Synopsis
  • - Supracondylar fractures of the humerus are the most common elbow fractures in children and can lead to neurovascular complications, including rare cases of isolated radial nerve palsy.
  • - A case of a six-year-old boy with a displaced supracondylar fracture showed symptoms of radial nerve palsy, such as wrist drop, after falling from a playground, confirmed by imaging as a Gartland Type III fracture.
  • - After treatment involving closed reduction and percutaneous pinning, the child's radial nerve function progressively improved, leading to full recovery and fracture healing by the 12-week follow-up, highlighting the need for timely management of such injuries.
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Injury to the elbow is very common in the throwing athlete and can potentially lead to long absences from play and, in the most severe scenarios, medical retirement. The throwing motion is a highly complex series of movements through the entire kinetic chain that results in very high angular velocities and valgus forces at the elbow joint. The repetitive nature of overhead throwing in combination with the high levels of accumulated force at the elbow puts both pediatric and adult athletes at risk of both acute and chronic overuse injuries of the elbow.

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  • ACL injuries are increasingly common in young patients, prompting research focused on improving surgical methods for ACL reconstruction (ACLR), particularly regarding graft choice and risk factors.
  • Allograft is not recommended for these patients, and the use of bone-tendon-bone grafts is discouraged due to complications with growth plates; quadriceps tendon autograft is preferred due to lower failure rates.
  • Non-modifiable risk factors include specific anatomical traits and injury patterns, where athletes with these characteristics may benefit from additional procedures like a modified Lemaire for better outcomes in return to contact sports.
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Purpose: Radial neck fractures in children are rare, representing less than 1% of all pediatric fractures. While conservative treatments are often sufficient, displaced fractures may require closed or open reduction. The Metaizeau technique is widely accepted for closed reduction and internal fixation.

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Background: Fracture separation of the distal humeral epiphysis in children is a relatively uncommon injury, predominantly occurring in children under 3 years. It has a high risk of treatment delays. This study aims to evaluate outcomes in the management of fracture separation of the distal humeral epiphysis treated seven or more days post-initial injury.

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Elbow injuries are one of the commonest paediatric musculoskeletal injuries. Their spectrum varies from pulled elbow to elbow dislocation. Supracondylar fractures are the most common type of paediatric elbow fractures accounting for 65-75 % of all paediatric elbow injuries.

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Article Synopsis
  • Surgical correction of chronic anterior dislocation of the radial head in children is complex, and patients often face re-dislocation or subluxation post-surgery.
  • A retrospective study on 10 pediatric patients who underwent combined radial shortening osteotomy and ligament reconstruction showed promising mid-term outcomes, with an average follow-up of 55 months.
  • Results indicated improved elbow motion, with most patients achieving excellent Kim elbow performance scores, suggesting the effectiveness of the surgical approach regardless of the dislocation's cause.
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Elbow pain can result in significant morbidity. MRI can help diagnosing the cause of elbow pain.Based on a systematic literature search as well as knowledge gained through frequent participation in conferences dedicated to advances in musculoskeletal imaging, this review aims to give a brief overview of normal anatomy and common pathologies of tendons and ligaments of the elbow on magnetic resonance imaging.

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  • Lateral condyle fractures are common in children (ages 6-10) and can be treated using open or closed reduction methods, but guidelines on treatment choices are unclear.
  • This study reviewed 111 patients who had surgery for Song type 4 and 5 fractures from 2011-2016, comparing outcomes between those treated with closed reduction and percutaneous pinning (CRPP) and open reduction and internal fixation (ORIF).
  • Results showed no significant differences in patient demographics or fracture displacement, but radiological outcomes indicated a higher rate of lateral spur formation in the ORIF group (47.5%) compared to the CRPP group (23%).
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Natural Recovery of Very Limited Elbow Flexion After Rare Lateral Humeral Condylar Fracture in a 4-Year-Old Boy: A Case Report.

JBJS Case Connect

October 2024

Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

Article Synopsis
  • - A 4-year-old boy experienced malunion after surgery for a rare elbow fracture, leading to limited elbow flexion of 50°.
  • - An MRI revealed a step-off in the cartilage as the cause of his flexion limitation.
  • - After 5 years of conservative treatment, the boy's elbow flexion improved to 135°, and the cartilage step-off resolved, demonstrating potential for recovery in pediatric elbow fractures.
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  • - An umbrella review assessed the effectiveness of platelet-rich plasma (PRP) in arthroscopic rotator cuff surgery, comparing leukocyte-poor PRP and leukocyte-rich PRP.
  • - The review included 11 meta-analyses, finding leukocyte-poor PRP effective at reducing retear rates and alleviating pain, while it showed no improvement in some specific shoulder assessment scores compared to non-PRP treatments.
  • - Leukocyte-rich PRP improved the Simple Shoulder Test outcomes but did not differ from non-PRP treatments in other assessments; future research should focus on long-term effectiveness.
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Bado type III Monteggia fractures have a high injury- and treatment-related complication rate: a single center study of 73 fractures.

Acta Orthop

October 2024

Department of Pediatric Orthopedics and Traumatology, New Children's Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.

Article Synopsis
  • - The study analyzed 73 Monteggia fractures in children, aiming to understand complications, outcomes, and incidence based on the classification of these fractures, specifically Bado types.
  • - Out of the fractures, Bado types I and III were most common, with type III showing a significantly higher risk of complications and treatment failures compared to type I.
  • - Overall, while Monteggia fractures are rare, the clinical outcomes were generally positive, with most children achieving full motion and function, although Bado type III injuries presented more challenges.
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Background: Supracondylar humeral fracture (SCHF) is a common injury in children, and early treatment provides excellent results and prevents disabilities. Delayed presentation is still prevalent, mainly in developing countries, because many factors hinder the opportunity to receive appropriate treatment. Currently, there are no standard treatment protocols, and there is insufficient published literature on this topic.

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Purpose: Long-term nonunion of the lateral humeral condyle (LHC) can result in progressive cubitus valgus, elbow pain, instability, and delayed ulnar nerve palsy. Various techniques have been proposed for correction, each with its own advantages and disadvantages. The purpose of this study was to introduce a lateral open wedge osteotomy (LOWO) procedure combined with in situ osteosynthesis of nonunited LHC for the treatment of long-term LHC nonunion with cubitus valgus deformity.

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Comparison of biodegradable and metallic tension-band fixation for paediatric lateral condyle fracture of the elbow.

Injury

September 2024

Manninger Jenő, Baleseti Központ, Department of Pediatric Trauma Surgery, Budapest,Hungary. Electronic address:

Introduction: In our retrospective study we compared the outcomes of paediatric lateral condyle fractures of the elbow fixed by bioabsorbable pins and tension-band sutures or by metallic tension-band with K-wires.

Materials And Methods: We reviewed the data of children operated on for lateral condyle fractures between 2010 and 2020. Patients were classified as follows: 1.

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