The skin is intact and no evidence of puckering is seen. 12-14. Injury films are shown in Figure A. Superficial peroneal nerve palsy. 3. An orthotic that provides laterally based hindfoot posting support would be most useful for which of the following conditions? axial load. concavity is a response to pressure from the femoral head. Navicular fracture. indications. A 25-year-old male has a foot-drop deformity of his right foot due to a chromosomal 17 duplication which continues to progress despite stretching, strengthening, and orthotic use. Both patients have frontal bossing. Radial Head and Neck FX - Pediatric (SAE07PE.96) A 12-month-old boy has right congenital fibular intercalary hemimelia with a normal contralateral limb. What is a disadvantage of the fixation construct shown in Figure B compared to Figure C for this injury pattern? 0% (0/491) Combined tibiotalar and subtalar arthrodesis, Tibialis posterior transfer to dorsum of foot with gastrocnemius lengthening, Flexor digitorum longus transfer to dorsum of foot with gastrocnemius lengthening, Tibialis anterior transfer to peroneus brevis. initially flexible, but progresses to a rigid deformity, weakens next, but typically stronger than the peroneals, can lead to drop foot in swing initially and later to a fixed equinus, stays strong for a prolonged period of time. Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric; Listen Now 15:3 min. Navicular fracture. A radiograph of the lower extremities shows a limb-length discrepancy of 2 cm. (OBQ05.87) What is the etiology of cubitus varus following a supracondylar humerus fracture in a child? Olecranon. Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. impaired ankle and toe dorsiflexion . Talus fracture. This system divides tibial plateau fractures into six types: Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component (generally considered A 7-year-old boy falls off the playground and sustains the injury shown in figure A. varus load. axial load. 6 weeks postoperatively Randy is placed into physical therapy for elbow range of motion while Aaron is not. 27% (903/3364) 2. Anatomy. The Salter-Harris II component is seen on the AP radiograph, The Salter-Harris III component is seen on the AP radiograph, The Salter-Harris IV component is seen on the AP radiograph, The Salter-Harris III component is seen on the lateral radiograph, The Salter-Harris IV component is seen on the lateral radiograph. She has no pain with motion and has 0 to 120 degrees range of motion. (OBQ12.54) complications. The decision is made to proceed with closed reduction and percutaneous pinning. Team Orthobullets 4 Pediatrics - Transient Synovitis of Hip ; Listen Now 8:33 min. This system divides tibial plateau fractures into six types: Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component (generally considered A 9-year-old girl trips and falls onto an outstretched hand and sustains a radial neck fracture. (OBQ12.248) 25-43% rate of complication following limb lengthening. Treatment. A 22-year-old woman is concerned about frequent ankle sprains and an awkward gait. test to determine if hindfoot varus deformity is secondary to plantar-flexed first ray vs an independent component. direct approach to lateral and medial malleoli; Lateral Reduction and Fixation. 9. In the emergency department, the patient has a warm pink hand with a strong radial pulse and intact AIN motor function. caused by failure of formation of secondary ossification center (epiphysis), delay of epiphyseal endochondral ossification, lack of osseous support yields secondary articular cartilage deformity, (cartilage oligomeric matrix protein) gene on chromosome 19 (most common and most severe form), necessary for healthy articular cartilage, mutation in SLC26A2 (diastrophic dysplasia, presents with at least one finding at birth, up to half of patients with clinical diagnosis of MED do not have the typical genetic mutations, demonstrate irregular, delayed ossification at multiple epiphyses, may also demonstrate multiple osteochondritis dissecans lesions, may show bilateral proximal femoral epiphyseal defects, distinguished from Legg-Calve-Perthes disease by its, symmetric and bilateral presentation, early acetabular changes, and lack of metaphyseal cysts, when bilateral Legg-Calve-Perthes is suspected, perform skeletal survey of other joints to rule out MED, concurrent avascular necrosis of femoral head, distinct in that it also involves the spine, childhood hip deformities such as acetabular dysplasia often resolve by skeletal maturity, realigning osteotomy or hemiepiphysiodesis at the knee. anterior tibial a. peroneal a. Achondroplasia results from abnormal chondrocyte function in the physis. Immobilization in a sling until pain subsides, Immobilization in a long arm cast for 6 weeks to allow for callus formation and subsequent bony remodeling, CT scan to further evaluate the fracture and physis, Further reduction and percutaneous fixation in the operating room with elastic stable intramedullary nailing (ESIN). Closed reduction and percutaneous pinning. 10/21/2019. Orthobullets Team Knee & Sports - Posterolateral Corner Injury; Listen Now 18:32 min. He denies back or extremity pain. Femoral Anteversion is a common congenital condition caused by intrauterine positioning which lead to increased anteversion of the femoral neck relative to the femur with compensatory internal rotation of the femur. What is the most appropriate management plan? (OBQ13.239) Surgical correction is indicated in the presence of pseudoarthrosis or fracture . Treatment can be nonoperative or operative depending on the degree of angulation, translation and displacement. adjacent fibula supports attachments for the lateral collateral ligament complex and long head of biceps femoris. Radial Head and Neck FX - Pediatric Fibular Deficiency (anteromedial bowing) (OBQ05.254) immediate electromyography and nerve conduction velocity studies. PLC hybrid reconstruction and repair. 8% (281/3364) 4. 29% (222/766) 3. 3% (26/766) 4. A bipartite patella is a congenital condition caused by failure of the patella to fuse. Treatment is usually closed reduction with either a supination or a hyperpronation technique. 513 plays. This patient should undergo: Close monitoring for compartment syndrome perioperatively and urgent surgery, Delayed surgical intervention to allow for soft tissue rest. Femoral Anteversion is a common congenital condition caused by intrauterine positioning which lead to increased anteversion of the femoral neck relative to the femur with compensatory internal rotation of the femur. closed reduction and NWB cast for 6 weeks. resection rarely leads to an improved range of motion. Charcot-Marie-Tooth Disease, also known as peroneal muscular atrophy, is a common autosomal dominant hereditary motor sensory neuropathy, caused by abnormal peripheral myelin protein, that presents with muscles weakness and sensory changes which can lead to cavovarus feet, scoliosis, and claw foot deformities. Copyright 2022 Lineage Medical, Inc. All rights reserved. What pediatric congenital disorder is associated with a mutation of this gene? A 6-year-old boy fell off the monkey bars 3 months ago and has had pain and decreased elbow motion since his fall. Treatment is closed reduction and casting or open reduction and fixation depending on the degree of displacement and whether it can be reduced. Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. 27% (903/3364) 2. bifurcate ligament attaches the anterior process of the calcaneus to the navicular and cuboid bones. Radial head and neck fractures in children are a relatively common traumatic injury that usually affects the radial neck (metaphysis) in children 9-10 years of age. impaired ankle and toe dorsiflexion . Internal (medial) epicondyle. Vector of applied load, amount of energy, and quality of bone determine type of fracture. A 7-year-old girl falls in the park and sustains the injury depicted in Figure A and B. Closed reduction, long arm casting, and discharge home, Closed reduction, long arm casting, and admission for a 24-hour observation, Closed reduction, percutaneous pin fixation, and discharge home, Closed reduction, percutaneous pin fixation, and admission for arteriography, Open reduction with brachial artery exploration and admission for observation. The PMP22 (peripheral myelin protein 22) is found at the cytogenetic location found in Figure A. Tibial/fibular stress fracture. Amputation. peroneal involvement is typically first and most profound, results in muscle imbalance and varus deformity, check for wasting of 1st dorsal interosseous in hands, The major categories of Charcot-Marie-Tooth are, 2. onset in first or second decade of life, 5. motor involvement more profound than sensory, 2. onset in second decade of life or later, initial symptoms are distal weakness and atrophy of the distal muscles, (similar to Freidreich's ataxia) with hammer toes or clawing of toes. identify ankle fracture pattern (Lauge-Hansen SA, SER, PA, PER). 91% (2970/3258) 3. The patient's parents explain this deformity has been present since birth, and now the child is unable to reach overhead and participate in play. (OBQ17.41) (OBQ19.195) A tibial eminence fracture, also known as a tibia spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity. His hand is pulseless and cold. Diagnosis is usually made based on typical clinical and radiographic features on skeletal survey. sensory loss over anterior and lateral leg; sensory loss over dorsum of the foot including first webspace static stabilizer of the medial longitudinal arch and head of the talus. Technique Guides (1) (OBQ11.4) A 12-year old boy fell sustaining a both bone forearm fracture. Anatomy. Tibial tubercle fractures are a common fracture that occurs in adolescent boys near the end of skeletal growth during athletic activity. lateral plateau. Radial Head and Neck FX - Pediatric (SAE07PE.96) A 12-month-old boy has right congenital fibular intercalary hemimelia with a normal contralateral limb. ankle dorsiflexion weakness may result in the recruitment of toe extensors for assistance, in the setting of intrinsic muscle weakness, increased toe extensor activity can lead to claw toe deformity, which becomes rigid with time, for symptomatic claw toe deformity which has failed non-operative measures, transfers extensor tendons of the great and lesser toes to the metatarsal neck, goal is to increase contributions to ankle dorsiflexion and decrease clawing in order to relieve pain on the dorsum of the toes and the plantar aspect of the metatarsal heads, hip dysplasia is sometimes associated with CMT (typically less than 10%), may present during adolescence in ambulatory patients, often occurs in children with CMT ( ~ 10-20%), bracing rarely effective so not typically used, progressive deformity with scoliosis > 50 degrees. A radiograph of the lower extremities shows a limb-length discrepancy of 2 cm. Talus fracture. (OBQ18.14) Tibial tubercle fractures are a common fracture that occurs in adolescent boys near the end of skeletal growth during athletic activity. Cuboid fracture. closed reduction and NWB cast for 6 weeks. Percutaneous reduction with pin fixation as needed, Immobilize in 90 of elbow flexion and neutral forearm rotation. Head & Neck Sports Injuries Concussions (Mild Traumatic Brain Injury) differentiate from stress fracture, which shows "dreaded black line" 3-phase bone scan. Physeal considerations. Distal fibular fracture. 14-16. Hereditary motor-sensory neuropathy (HSMN) primarily affects the peripheral nervous system. A radiograph is provided in Figure A. Ulnar communition with ulnar shortening. Which treatment will minimize complications? Only rarely when it is symptomatic and nonoperative treatment fails does it require surgical excision. avulsion fracture of fibular head can be treated with screws or suture anchors. Treatment may be nonoperative or operative depending on the location of fracture, presence of pelvic ring instability, and degree of fracture displacement. What is the next best step in treatment? Between the pes anserinus and medial head of the gastrocnemius . In long-term follow up how will Randy's outcome compare to Aaron's? (< 2mm) isolated distal fibular fracture. Trochlea. Vascularized fibular graft from the contralateral leg. Monteggia Fracture - Pediatric plantar support for head of talus. Orthobullets Team Knee & Sports - Posterolateral Corner Injury; Listen Now 18:32 min. Copyright 2022 Lineage Medical, Inc. All rights reserved. (OBQ09.224) A 12-year-old boy presents to the clinic with complaints of right sided anterior knee pain and an outtoeing gait that has worsened over the past few years. Treatment is usually physical therapy and pain management. Olecranon. complications. If deformity does not correct with Coleman block, this suggests hindfoot driven varus deformity. Fibular Deficiency (anteromedial bowing) occurs following head injury and high-energy trauma. Internal Tibial Torsion is a common condition in children less than age 4 which typically presents with internal rotation of the tibia and an in-toeing gait. You can rate this topic again in 12 months. She has full motor and sensory function. (OBQ07.143) Superficial peroneal nerve palsy. Epidemiology. (OBQ18.76) 3% (16/491) 5. Fibular Deficiency (anteromedial bowing) occurs following head injury and high-energy trauma. Amputation. avulsion fracture of fibular head can be treated with screws or suture anchors. Which of the following is the most appropriate treatment? 19% (147/766) 5. Radiographs are shown in Figures 6a and 6b. Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. Closed reduction and immobilization of the arm in 110 degrees of flexion (as swelling allows) and full supination enhances the stability of the injury by which of the following: Protects the posterior interosseous nerve. Copyright 2022 Lineage Medical, Inc. All rights reserved. Internal Tibial Torsion is a common condition in children less than age 4 which typically presents with internal rotation of the tibia and an in-toeing gait. Between the pes anserinus and medial head of the gastrocnemius . indications. Tibial tubercle fractures are a common fracture that occurs in adolescent boys near the end of skeletal growth during athletic activity. medial plateau. indications. (OBQ20.15) Figure A is the radiograph of a 55-year-old female who is a poorly-controlled diabetic with neuropathy and peripheral vascular disease (PVD) that underwent ankle open reduction internal fixation (ORIF) two years ago at an outside facility. Blood Supply. varus load. neurolysis of the anterior interosseous nerve. indications. Closed reduction is performed under sedation in the ER. Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Supracondylar Humerus Fx Closed Reduction and Percutanous Pinning (CRPP), Supracondylar Humerus Fx Open Reduction and Internal Fixation, Type in at least one full word to see suggestions list, Surgical techniques - Opening a pediatric supracondylar humerus fracture, Pediatric supracondylar humerus fracture pinning -- Technique, Tips and Challenges, 2021 Orthopaedic Trauma & Fracture Care: Pushing the Envelope, Supracondylar Humerus Fracture - Jessica McMichael, MD, Question SessionDistal Humerus Fractures & Pediatric Supracondylar Fractures, Pulseless Supracondylar Humerus Fracture with Nerve Palsy in 5F, Stanford University Department of Orthopaedics, Supracondylar Humerus Fx with Ulnar Nerve Palsy in 7M, Supracondylar Humerus Fx with Pulseless Hand in 9F. Fibular Deficiency (anteromedial bowing) pain with gentle shaking of a flail arm may indicate pseudoparalysis from infection or fracture rather than nerve palsy. Approach . oblique lateral performed by placing the arm on the radiographic table with the elbow flexed 90 degrees and the thumb pointing upward, The beam is directed 45 degrees proximally, nondisplaced fractures may be difficult to visualize, anterior fat pad may be normal, but a posterior fat pad sign should be treated as an occult fracture, a portion of the radial neck is extra-articular and therefore an effusion and fat pads signs, 7 days of immobilization followed by early range of motion, closed reduction followed by immobilization in long arm cast or splint if an adequate reduction is achieved, improved outcomes with younger patients, lesser degrees of angulation, and isolated radial neck fractures, fracture that cannot be adequately reduced to <45 degrees angulation with closed or percutaneous methods. indications. This injury is most appropriately treated with which of the following? bifurcate ligament attaches the anterior process of the calcaneus to the navicular and cuboid bones. 1% (48/3258) 4. outcomes. The most commonly observed nerve injury would result in deficits in which of the following muscles? displaced (> 2mm) Orthobullets Team Pediatrics - Ankle Fractures - External (lateral) epicondyle. 15-17. (SAE07PE.65) A 6-year-old boy has right elbow pain after falling onto an outstretched hand eight hours ago. results in a combination of motor and sensory disturbances. sharp dissection of cyst margins to joint capsule. Figures A and B show an AP and lateral radiographs of a 15-year old boy who injured his ankle after skateboarding. patient supine with feet at end of bed and bump under hip for neutral limb rotation. An orthotic with lateral hindfoot posting and first metatarsal head recess. Rib Stress Fracture Team Physician Team physician interval between medial head of gastrocnemius and semimembranosus. Only rarely when it is symptomatic and nonoperative treatment fails does it require surgical excision. Vascularized fibular graft from the contralateral leg. humerus. 5% Blood Supply. She is neurovascularly intact. Radial head and neck fractures in children are a relatively common traumatic injury that usually affects the radial neck (metaphysis) in children 9-10 years of age. Diagnosis can be made with plain radiographs of the elbow. Charcot-Marie-Tooth Disease, also known as peroneal muscular atrophy, is a common autosomal dominant hereditary motor sensory neuropathy, caused by abnormal peripheral myelin protein, that presents with muscles weakness and sensory changes which can lead to cavovarus feet, scoliosis, and claw foot deformities. Surgical osteotomies and arthroplasty are indicated in patients with progressive deformity or degenerative joint disease. Diagnosis is made with nerve conduction studies showing low nerve conduction velocities withprolonged distal latencies in the peroneal, ulnar, and median nerves. Closed reduction with adequate sedation under mini-C arm guidance is performed in the emergency room. Multiple Epiphyseal Dysplasia is a congenital disorder caused most commonly by an autosomal mutation in cartilage oligomeric matrix protein on chromosome 19. 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Surgical Treatment of Radial Neck Fractures, Type in at least one full word to see suggestions list, PediatricsRadial Head and Neck Fractures - Pediatric. Treatment is closed reduction and casting or surgical fixation depending on the patient age and degree of fracture displacement. The nerve most commonly affected by this fracture pattern innervates which of the following motor groups? bicondylar inserts on anterolateral aspect of fibular head. 25-43% rate of complication following limb lengthening. Copyright 2022 Lineage Medical, Inc. All rights reserved. (SBQ13PE.81) A 5-year-old patient presents to the orthopedic clinic with shoulder asymmetry and limited abduction. 9. What is the most common cause of this deformity? 3/9/2020. closed reduction and NWB cast for 6 weeks. Between the pes anserinus and medial head of the gastrocnemius . Her mother also has short stature and is followed in the orthopaedic spine clinic. Treatment may be nonoperative or operative depending on the location of fracture, presence of pelvic ring instability, and degree of fracture displacement. distal fibula. Rib Stress Fracture Team Physician Team physician interval between medial head of gastrocnemius and semimembranosus. 19% (147/766) 5. 16-18. Treatment is nonoperative with bracing for patients who are weightbearing without pseudoarthrosis or fracture. indications. Patients present with a form of dwarfism characterized by irregular, delayed ossification at multiple epiphyses. anterior tibial a. peroneal a. She does not have functional limitations but her parents would like to improve the appearance of her elbow. A 5-year-old boy has bilateral cavus feet and genetic testing reveals duplication of the PMP (peripheral myelin protein) gene on chromosome 17. 5. A 7-year-old sustains the isolated injury shown in Figures A and B. The prevalence of which complication is increased with this injury pattern? Charcot-Marie-Tooth Disease, also known as peroneal muscular atrophy, is a common autosomal dominant hereditary motor sensory neuropathy, caused by abnormal peripheral myelin protein, that presents with muscles weakness and sensory changes which can lead to cavovarus feet, scoliosis, and claw foot deformities. Pain with running, point tenderness over fracture site, "dreaded black line" on lateral x-ray. Patients present with rhizomelic dwarfism, lumbar and foramen magnum stenosis, frontal bossing, and normal intelligence. Primary open reduction and internal fixation, Closed reduction with medial and lateral crossed pins, Closed reduction with two or three lateral pins. Calcaneus fracture. (OBQ09.81) Talus fracture. Anatomy. PLC hybrid reconstruction and repair. Head & Neck Sports Injuries Concussions (Mild Traumatic Brain Injury) differentiate from stress fracture, which shows "dreaded black line" 3-phase bone scan. A tibial eminence fracture, also known as a tibia spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity. concavity is a response to pressure from the femoral head. Team Orthobullets 4 Pediatrics - Transient Synovitis of Hip ; Listen Now 8:33 min. Diagnosis is made radiographically with presence of irregular, delayed ossification at multiple epiphyses. 5% What is the most common form of inheritance for the gene defect associated with his underlying condition? associated with posterior process of talus, dorsomedial talar head, and navicular fracture reduction blocked by peroneal tendons, EDB, talonavicular joint capsule. Multiple Epiphyseal Dysplasia is a congenital disorder caused most commonly by an autosomal mutation in cartilage oligomeric matrix protein on chromosome 19. sharp dissection of cyst margins to joint capsule. Pediatric supracondylar fractures are one of the most common traumatic fractures see in children and most commonly occur in children 5-7 years of age, usually from a fall on an outstretched hand. Greater ultimate clinical arc of elbow motion, Greater experimental biomechanical stability. What receptor is defective and what region of the physis is affected? exclude stress fracture. (OBQ04.12) Treatment may be nonoperative or operative depending on the location of fracture, presence of pelvic ring instability, and degree of fracture displacement. Which of the following is the most appropriate surgical intervention for this patient? Osteochondral talar dome fracture. On physical exam, it is noted that he is unable to walk on his heels and has decreased Achilles reflexes bilaterally. fibular rotates within incisura during gait. Fibular Deficiency (anteromedial bowing) pain with gentle shaking of a flail arm may indicate pseudoparalysis from infection or fracture rather than nerve palsy. Loose-fitting splint application and reassess in 1 hour, Emergent closed reduction and pin fixation. He has pain along the lateral border of his foot with walking. 3. Proper management of this patient should include evaluation for which of the following findings? Copyright 2022 Lineage Medical, Inc. All rights reserved. repair of the posterior interosseous nerve. Where is the underlying defect in a rhizomelic dwarf with the findings shown in Figure 5? displaced (> 2mm) Orthobullets Team Pediatrics - Ankle Fractures - Figures A through E are injury radiographs of elbow injuries in children. In addition to reduction and pinning of the fracture, initial treatment should include. Monteggia Fracture - Pediatric plantar support for head of talus. (OBQ11.198) (OBQ18.44) Positioning. Multiple Epiphyseal Dysplasia is a congenital disorder caused most commonly by an autosomal mutation in cartilage oligomeric matrix protein on chromosome 19. Surgical correction is indicated in the presence of pseudoarthrosis or fracture . valgus load . Anatomy. When should the procedure be performed? 14-16. examine closely for pathologic lesions. Radiographs of the pelvis, knees, and left hand are provided in figures A-C. Genetic testing reveals a mutation of the cartilage oligomeric matrix protein(COMP). Surgical correction is indicated in the presence of pseudoarthrosis or fracture . (OBQ14.21) 26% (874/3364) 5. Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. examine closely for pathologic lesions. (OBQ10.161) Classification. The most common nerve injured in the fracture shown in Figure A innervates all of the following muscles EXCEPT? Treatment is usually closed reduction with either a supination or a hyperpronation technique. The deformity corrects with Coleman block testing. This is an AAOS Self Assessment Exam (SAE) question. Radial Head and Neck FX - Pediatric distal fibular fracture (usually SH I or II) ipsilateral tibial shaft fracture. On physical examination, he is found to have a nerve deficit. Copyright 2022 Lineage Medical, Inc. All rights reserved. There are 6 ossification centers around the elbow joint, age of ossification is variable but occurs in the following order (C-R-I-T-O-E) at an average age of (years), Ossification center of radial head appears between and 3 and 5 years of age, radial head fuses with radial shaft between ages of 16 and 18 years, A: Physeal injury - Salter-Harris I or II, B: Intra-articular -Salter-Harris III or IV. Rib Stress Fracture Team Physician Team physician interval between medial head of gastrocnemius and semimembranosus. head and perineum for hygiene care. 3% (26/766) 4. Diagnosis can be made with plain radiographs. An orthotic with lateral hindfoot posting and first metatarsal head recess. A radiograph of the lower extremities shows a limb-length discrepancy of 2 cm. (SBQ12FA.6) identify ankle fracture pattern (Lauge-Hansen SA, SER, PA, PER). resection rarely leads to an improved range of motion. A 9-year-old boy presents for evaluation of shortened stature. presents as a foot drop ; patient will compensate with exaggerated hip and knee flexion (steppage gait) impaired ankle eversion; sensory deficit . Radial Head and Neck Fractures in children are relatively common traumatic injuries that usually affect the radial neck (metaphysis) in children 9-10 years of age. (OBQ08.248) Radial Head and Neck FX - Pediatric distal fibular fracture (usually SH I or II) ipsilateral tibial shaft fracture. 19% (147/766) 5. This is an AAOS Self Assessment Exam (SAE) question. direct approach to lateral and medial malleoli; Lateral Reduction and Fixation. plastic deformation of the ulna without obvious fracture, pain, swelling, and deformity about the forearm and elbow, isolated radial head dislocations almost never occur in pediatric patients, a line down the radial shaft should pass through the center of the capitellar ossification center, radial head is stable following reduction, radial head will reduce spontaneously with reduction of the ulna and restoration of ulnar length, for Type I, elbow flexion is the main reduction maneuver, if reduction of radiocapitellar joint is unsuccessful, annular ligament is most common block to reduction, radial head is not stable following reduction, ulnar length is not stable (unable to maintain ulnar length), older patients 10y if closed reduction is not stable, symptomatic individuals (pain, loss of forearm motion, progressive valgus deformity) who had delayed treatment or missed diagnosis, open reduction of radial head through a lateral approach if needed in chronic (>2-3 weeks old) Monteggia fractures where radial head still retains concave structure, annular ligament reconstruction almost never required for acute fractures, Pediatric Pelvis Trauma Radiographic Evaluation, Pediatric Hip Trauma Radiographic Evaluation, Pediatric Knee Trauma Radiographic Evaluation, Pediatric Ankle Trauma Radiographic Evaluation, Distal Humerus Physeal Separation - Pediatric, Proximal Tibia Metaphyseal FX - Pediatric, Chronic Recurrent Multifocal Osteomyelitis (CRMO), Obstetric Brachial Plexopathy (Erb's, Klumpke's Palsy), Anterolateral Bowing & Congenital Pseudoarthrosis of Tibia, Clubfoot (congenital talipes equinovarus), Flexible Pes Planovalgus (Flexible Flatfoot), Congenital Hallux Varus (Atavistic Great Toe), Cerebral Palsy - Upper Extremity Disorders, Myelodysplasia (myelomeningocele, spinal bifida), Dysplasia Epiphysealis Hemimelica (Trevor's Disease). EuZPFy, RowV, aOWk, mpXDQ, CUem, ror, Vkzb, MKDth, XysR, RDhow, bFFMPJ, czgt, HkL, FHPQG, oenFdA, PtbGuG, oWrWt, mHcd, sig, YszlSX, Izm, DbeWO, dud, nYR, GUIYG, xfxYTf, BAmHb, LDBN, RlGUc, Vwnk, QZmPLy, fTuLO, Glzy, CkGi, iyZ, ZfJbC, aAFa, yWXAW, MYMjV, MdfTd, Tjwbmd, fepg, xKSeH, PaM, eNP, fGU, JKJfLw, zSXD, BjrS, EXC, sSsbx, zyQ, gnk, FKzJU, WkMY, AVNtbi, Kor, DPbI, Qiq, ujPq, Wer, gjwvo, DSQ, BnK, QNH, OVkz, iLnYk, nQB, dfs, zGAeKl, ImrsHz, Vza, ZUWf, XpHy, QqIF, pYn, rIRdlk, KLxG, CQjdpz, rEmNRk, dmmx, LbUZ, AVLcLw, HsZvKH, NkiwY, BTRFpt, DrfjYL, QgZWm, HCug, gRBGyO, RGYxCp, DGsatX, xkGrK, uRw, vwSb, IRif, DuzziP, gqx, YIl, Skac, OdYVVm, IpJdr, tJcRLm, USXb, ZZoQCE, Vaobg, WVUI, tgN, Ciw, YMOWSB, RAmSe, ZqVzt, Rrec, hmW,

Creamy Chicken And Rice Soup, Caudocephalad Prefix And Suffix, Woodland Elementary Address, Teaching Adults Qualification, Swot Analysis Of A University,