The Hip book

Pediatric Tibial Fracture

– See:       – Casting of Tibial Fractures       – Distal Tibial Fracture        – Intercondylar Eminence Fracture        – Proximal Tibial Physeal Fractures        – Proximal Tibial Metaphyseal Fractures        – Tibial Tuberosity Fractures       – Pediatric Ankle and Distal Tibia Fractures:             – … Read more

Pediatric Pronation-External Rotation Frx

– See: Adult Pronation External Rotation Frx – Distal Tibia:     – SH type II frx of distal tibial physis is most common pattern:     – metaphyseal fragment is characteristically localized on lateral side or posterolaterally;     – lateral or posterior displacement is also present;     – SH type I frx … Read more

Pediatric Radiology

– See:         – Methods to Etimate Growth Potenital:          – Growth Plate Anatomy  – Appearance of Ossification Centers:     – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous;     – ossification centers will enlarge in all directions, until it becomes bounded on … Read more

Pediatric Distal Tibial Fracture

– See:       – Fractures of Distal Tibial Metaphysis       – Pediatric Ankle Fractures        – Stage II Supination       – Salter Harris III        – Salter Harris IV        – Triplane Fracture – Angular Deformity:     – varus deformities most common complication found w/ distal tibia growth plate injuries 2nd … Read more

Pediatric Elbow

– See:            Radiology of the Pediatric Elbow            Posterior Approach to the Elbow – Pediatric Elbow Injuries:     – Distal Humeral Physeal Separation     – Elbow Dislocation     – Lateral Condyle Frx     – Medial Condyle Frx     – Medial Epicondyle Frx     – Monteggia Frx     … Read more

Bone Circulation:

– Discussion:     – epiphyseal artery     – metaphyseal artery     – nutrient artery     – periosteal vessels     – see tibia bone circulation – Pediatric Bone Circulation:     – circulation in pediatric bone:           – differs from adult circulation due to requirements of growth … Read more

Pediatric BKA

– See:       – Below Knee Amputation:       – BKA prosthetics       – Pediatric Amputation – Discussion:    – Anterior bowing assoc. w/ posterior tilting of epiphyseal plate;    – Varus type of bowing with distal element pointing medially;    – Fibula will usually out grow tibia, which may … Read more