Current Concepts Review. Fractures of the Distal End of the Radius. External fixation or plaster cast for severely displaced Colles’ fractures? Prospective 1-year study of 46 patients. The treatment of Colles’ fracture. Immobilisation with the wrist dorsiflexed. Unstable Colles’ fractures in elderly patients. A randomised trial of external fixation for redisplacement. Regional anesthesia preferable for Colles’ … Read more
– See: – Baumann’s Angle – Cubitus Varus – Discussion: – in general a varus reduction cannot be accepted whereas a slight valgus reduction can be accepted; – the true amount of varus cannot be determined until arm is fully extended which is not performed … Read more
– Parvin’s Method of Closed Reduction: – pt lies prone on stretcher, & physician applies gentle downward traction on the wrist for a few minutes; – as olecranon begins to slip distally, MD lifts up gently on arm; – alternatively MD may guide reduction of olecranon w/ opposite hand; … Read more
– Discussion: – From Hippocrates to the Eskimo – a history of techniques used to reduce anterior dislocation of the shoulder. – w/ a witnessed dislocation, consider immediate relocation on field; – this consists of initial slight abduction and internal derotation of affected arm; – this can be done … Read more
– Considerations: – anesthetic considerations: – generally GEA is the standard of care: – some anesthesiologists state that there is no such thing as safe pediatric conscious sedation; – hematoma block may be dangerous and is usually ineffective; … Read more
– See: – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery – Vaccum Assisted Wound Closure Device – Discussion: – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will decrease wound infection, flap loss, & delayed bone healing; – early coverage … Read more
– See: vascular malformations of the upper extremity – Discussion: – first described by Maurice Raynaud in 1862; – involves vasoconstriction of the cutaneous arteriovenous shunts, digital arteries, and precapillary arterioles; – pallor of the digits with or w/o cyanosis on exposure to cold; – Raynaud’s disease … Read more
– See: Radiology of Pediatric Elbow – Discussion: – precise AP & Lateral projections are required to evaluate normal anatomic relationships; – there should be no rotation to the forearm; – AP View: – medial and lateral epicondyles and humeral-ulnar/radial articulation; – carrying angle; … Read more
– Findings: – Carpal height & Carpal height ratio – Distal Radius Fracture – Radial Length & Width – Scapholunate Dislocation – Scaphoid Fracture – Types of Radiographs: – Arthrography of the Wrist – AP View – Carpal Tunnel View – Clenched Fist … Read more
– See: Pediatric Elbow Injuries – Ossification Centers of the Elbow: – C apetellum (appears age 1-2) – R adial Head (appears age 2-4) – I nteranal epicondyle (appears age 4-6) – T rochlea (appears age 8-11) – O lecranon (9-11 years) … Read more