fractura de húmero proximal con manejo conserva- dor, en el período comprendido .. fracturas de metáfisis distal del radio.9 Dependiendo del tipo de fractura y las se estabilizaban con placas tercio y medio tubo obteniendo resultados de. Las fracturas de antebrazo pueden ocurrir cerca de la muñeca en el extremo más alejado (distal) del hueso, en el medio del antebrazo, o cerca del codo en el . Si su niño es un atleta activo o simplemente un niño pequeño que da brincos en su cama, hay grandes probabilidades de que se caiga, en su casa o en el.
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Symptomatic snapping of the triceps tendon can occur, as well as development of ulnar neuropathy. Prospective longitudinal evaluation of elbow motion rractura pediatric supracondylar humeral fractures. The surgical approach was made through the torn soft tissues without further destabilizing or devascularizing the fracture.
There were no iatrogenic ulnar nerve palsies. In 10 cases vascular impairment or unsatisfactory reduction necessitated open exploration.
Fracturas supracondileas complejas del humero
Corrective osteotomy of the distal humerus resolved these problems. J Pediatr Orthop ; 18 1: Another 2 of 9 pts had satisfactory perfusion but no immediate palpable pulse after CRPP surgery. She was treated non-operatively 3 weeks in a cast. Vascular humer and their sequelae in pediatric supracondylar humeral fractures: A review of 63 patients with cubitus varus deformities, in whom no growth inhibition was apparent.
The authors recommend immediate antecubital fossa exploration if an extremity remains pulseless to palpation and Doppler examination after reduction and stabilization, rather than a waitand-watch approach.
Between anddisplaced fractures were treated by operative means. These Southern California researchers determined that 2.
Arch Orthop Trauma Surg. Open reduction is indicated for fractures irreducible by closed means, open fractures, fractures associated with vascular compromise, and fractures with a postreduction nerve palsy when anatomic reduction is not obtainable.
Postacchini F, Morace GB. Pulseless arm in association with totally displaced supracondylar fracture. Outcome of nonoperative vs operative treatment of distl shaft fractures: J Hand Surg-Am ; If the medial pin appears radiographically to be positioned in the ulnar notch, it may be appropriate to remove it and replace it more anteriorly if the pin is needed for stabilization of the fracture.
El seguimiento promedio fue de 22 meses.
The authors recommend achieving maximal anatomical position in the coronal and sagittal planes. The authors report three patients with cubitus varus, snapping medial head of the triceps, dislocating ulnar nerve, and posterior shoulder instability believed to be related to excessive internal rotation of the humerus.
Medial approach for fixation fractkra displaced supracondylar fractures of the humerus in children. Primary exploration for radial nerve palsy asso- ciated with unstable closed humeral shaft fracture. In cases closed reduction and percutaneous fraftura was performed.
Seven patients had a cold white hand after closed reduction and pinning, and received open reduction and arterial exploration. An epidemiological study of fractures.
Postoperative stiffness was not common, as only six patients had loss of extension of 10 degrees or more. Of these 10 pts, 8 out of 10 had concomitant nerve palsies AIN or median nerve fracturaa.
Results using AO plating techniques. These authors recommended treating such supracondylars at the earliest opportunity. The author recommends exploration rather than simple pin removal. These Israeli authors reviewed supracondylar pts between and and found 30 that were underreduced.
Progressive cubitus varus due to bony physeal bar in a 4-year-old girl following a supracondylar fracture: Cubitus varus is NOT just cosmetic. Antegrade locked intramedullary nailing in humeral shaft fractures. Iatrogenic ulnar nerve injury after surgical treatment of displaced supracondylar fractures of the humerus: Orthop Traumatol Surg Res ; Anatomic and functional results in cases and a review of the literature. The remaining three had persistent absence of radial dietal. The authors concluded that uncomplicated supracondylar fxs could be treated distap or delayed.
The other three were treated with exploration of the brachial artery. Open reduction and internal fixation for supracondylar humerus fractures in children. Each was explored immediately and found to have a dl vascular injury requiring repair.
J Bone Joint Surg ; 72A: Fractures of the hu- merus associated with paralysis of the radial nerve. A case report and suggested classification system. Mapes R, Hennrikus W. Nerve injuries distap with pediatric supracondylar humeral fractures: Functional treatment of the distal third humeral shaft fractures.
Fracturas supracondileas complejas del humero – ppt descargar
Radial nerve entrapment by the lateral intermuscular septum disyal trauma. The Baumann angle was evaluated in normal children.
Eleven cadaveric elbows were instrumented and studied and demonstrated that cubitus varus increases strain in the LUCL with corresponding increased ulnohumeral joint instability.