PAEDIATRIC ELBOW FRACTURES
Feb 16, 2016
PAEDIATRIC ELBOW FRACTURES
CLINICAL
History of traumaExamination
◦Neuro: pinch, O, thumbs up◦Arterial:
◦“Healthy index of suspicion of unwitnessed events” NAI Incidental trauma: infection/ other pathology.
XraysAP+LAT +/- IR OBLFat padsRelationship radius-capitellumLong axis ulna in line with and medial to long axis humerus on APAnt humeral line bisects capitellumBaumann’s angle
DON’T ACCEPT SUBSTANDARD XRAYS
Baumann’s angle
Relationship ulna to humerus on AP
CRITOL
Lateral condyle #
Lateral condyle #Seen best on IR ObliqueORIF if 2mm displacementRisk late displacementImmobilise 5-6/52
Radial neck #<30 degrees: accept.
Monteggia #Early detection imperative
Monteggia #
Monteggia #
Monteggia #
Monteggia #
Monteggia #
Monteggia #
Monteggia #
Medial epicondyle #Large medial soft tissue swellingBeware young child: <5: ? Medial condyle
Supracondylar #
Supracondylar #
RARE flexion supracondylar
Transphyseal #Young. Association abuse.Looks like dislocation.
Thank you