– See: Humeral Frx – Main Menu – humeral shaft fractures – Retrograde IM Nailing: – main advantage over antegrade nailing, is that violation of the rotator cuff is not necessary (and therefore shoulder motion is not affected); – retrograde nailing is also preferred over antegrade nailing for distal shaft fractures; – main disadvantage is … Read more
Upper extremity fractures in the acute spinal cord injured patient. Percutaneous stabilization of unstable fractures of the humerus. Biodegradable fixation of distal humeral physeal fractures. Growth plate activity in the upper extremity. Growth and predictions of growth in the upper extremity. Pathologic fracture of the humerus. Management of concomitant ipsilateral fractures of the humerus and … 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
– Discussion: – w/ pt in supine position, lateral traction is applied, followed by external rotation to relax the posterior capsule; – posterior pressure is then placed on humeral head to affect reduction; – after reduction, arm is gently abducted in external rotation and placed at side; – following reduction, downward … 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
– Discussion: – these plates are used with 3.5 mm cortex screws; – their main application is for use with pelvic and acetabular frx; – they may be also used in fractures of the distal humerus (dorsolateral apect), the clavicle, and the calcaneus; – reconstruction plates have notches … 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
– AP view: – patient is supine with the foot internally rotated 15 deg to obtain best views of the femoral neck; – central beam is directed toward the femoral head; – X-ray tube should be positioned 100 cm from focal plane of film cassette to yield an … 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
– See: – Radiographic Studies for the Shoulder – Posterior Shoulder Dislocation – Findings Seen on Specific Radiographic Views: – Axillary View: – reverse hill sachs lesion – AP of the Shoulder: – because humerus is internally rotated, the greater tuberosity will not … Read more