– Discussion: – disease involving capitulum of distal humerus that produced changes similar to those observed in Legg Calve Perthes disease; – it should be distinguished from osteochondritis dissecans (which occurs in the older child or adolescent – older than age 13 years); – pathologic process is … Read more
– Discussion: – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones; – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation; … Read more
– See: Pediatric Elbow Injuries – Discussion: – a traction apophysisitis of the medial epicondyle which needs to be distinguished from avulsion frx of the medial epicondyle – the medial epicondyle is an apophysis which is connected to the MCL as well as being connected to the flexor-pronator mass; – both of these structures will … Read more
– Discussion: – child abuse occurs most often under the age of 3 years; – when child abuse goes unrecognized, the mortality rate may be as high as 5%; – common patterns for abuse: – unwitnessed spiral fractures – fractures occuring prior to walking age; – common fractures: … Read more
Note: it is the responsibility of the physician to ensure that these codes are correct. Debridement Excision of Skin Lesions / Ulcers Excision of Foreign Body or Superficial Tumors Spinal Procedures (and rib) Shoulder, Clavicle, and Humerus Procedures Elbow, Wrist, and Hand Procedures Hip, Femur and Knee Procedures … Read more
– See: – Percutaneous Pin Fixation – Type III Supracondylar Frx – Indications: – vascular injuries – inadequate reduction; – brachialis may become interposed at frx site or by proximal humeral frx fragment button-holed thru brachialis (see physical exam); … Read more
– Discussion: – used in conjunction w/ a posterior approach: for fixation of condylar fractures, as well as exposure of distal humeral non unions; – olecranon osteotomy can be either non-articularl or trans-articular; – usually the non-articular olecranon osteotomy is used for non-articular condylar fractures; … Read more
– See: External Hip Rotators; – Anatomy: – origin: inferior medial surface of the obturator foramen and the quadrilateral surface; – insertion: after passing thru the lesser sciatic notch, it inserts on the superior posterior aspect of the greater trochanter of the femur; – action: outward rotation of the … Read more
– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– Avulsion Fracture – Comminuted Fractures – Distal Olecranon Fracture: – Fracture Dislocations – Oblique Fractures – Surgical Approach: – Transverse Fractures – Discussion: – results from indirect forces (hyperextension) – frx begins at midpoint of trochlear notch and extends distally to enter semilunar notch; – amount of frx … Read more