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.
Flexion-type supracondylar elbow fractures in children.
Factors associated with radial nerve palsy af- ter operative treatment of diaphyseal humeral shaft fractu- res. Medial approach for fixation of displaced supracondylar fractures of the humerus in children. J Hand Surg-Am ; 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.
Neural injuries associated with supracondylar fractures of the humerus in children. Normal characteristics of the Baumann humerocapitellar angle: An epidemiological study of fractures.
Postoperative radial nerve paralysis caused by fracture callus. Prospective longitudinal evaluation of elbow motion following pediatric supracondylar humeral fractures. Another 2 of 9 pts had satisfactory perfusion but no immediate palpable pulse after CRPP surgery.
Fracturas supracondileas complejas del humero
Radial nerve paralysis associa- ted with fractures of the humerus. You are free to share, copy, distribute and transmit the work provided that the author is credited and reuse of the material is restricted to non-commercial purposes only and that if you alter, transform, or build upon this work, you may distribute the resulting work only under the same or similar license to this one. The author recommends exploration rather than simple pin removal. Percutaneous pinning provided the highest number of good results and is recommended as the treatment of choice for most fractures.
These Southern California researchers determined that 2. This paper addresses issues related to sagittal and coronal alignment of supracondylar humeral fxs. The authors state that all of the dital 23 pts demonstrated a degree of ischemic contracture.
J Pediat Orthop ; The other three were treated with exploration of the brachial artery.
Fracturas supracondileas complejas del humero – ppt descargar
J Pediatr Orthop ; 18 5: Nerve injuries associated with pediatric supracondylar humeral fractures: As compared to lateral pinning, crossed pinning was associated with a higher rate of ulnar nerve injury. 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 humdro for stabilization of the fracture. Two of the 14 children who had initially regained their pulses had a progressive postoperative deterioration in their circulatory status during the first h, including loss of the radial pulse.
The Journal of Hand Surgery ; 24A 4: Each was explored immediately and found to have a significant vascular injury requiring repair. Bridging plate os- teosynthesis of humeral shaft fractures. Prognostic Level I study published in American JBJS that documents what many orthopaedists have seen in their own practices … that most of the elbow motion following this injury returns within the first 4 weeks after cast removal with additional small gains taking almost up to one year.
Nonunions of the humerus. Plate fixation of the humeral shaft for acute fractures, with and without radial nerve dstal.
She was treated non-operatively 3 weeks in a cast. Persistent and increasing pain with a deepening nerve lesion indicate that there is critical ischemia and we recommend urgent surgical exploration of the vessel and nerve in this situation. The ideal position of elbow immobilization depends on the amount of swelling and the presence of a radial pulse.
Transient Neurological problems are common in this fracture. She initially had Baumann angles of 85 degrees on the injured side and 82 degrees on the un-injured side.
Humeroo the 6th case the nerve was anteriorly subluxated and fixed anterior to the medial epicondyle by the pin. Estudio con evidencia debil pero no se uede rendomizar por cuetiones eticas. There were two late ulnar neurapraxias, and two direct nerve injuries during K-wire insertion, one to the ulnar and one to the radial nerve.
J Bone Dle Surg Am ; In this retrospective study of patients with type III supracondylar humeral fractures, closed reduction and casting resulted in significantly fewer good results and more complications.
Tardy posterolateral rotatory instability of the elbow due to cubitus varus. The treatment of supracondylar fractures in children with an absent radial pulse. Risk factors for vascular repair and compartment syndrome in the pulseless supracondylar humerus fracture in children. Management of vascular injuries in displaced supracondylar humerus fractures without arteriography. Relationship of the anterior humeral line to the capitellar ossific nucleus: A case report and suggested classification system.
Radial nerve palsy in humeral shaft fractures with internal fixation: Immediate radial nerve palsy complicating fracture of the shaft of the humerus: All frractura injuries resolved frsctura 6 month follow-up. These authors recommended treating such supracondylars at the earliest opportunity.
The remaining three had persistent absence of radial pulse. The results of functional Sarmiento bracing of humeral shaft fractures. Approach to ra- dial nerve palsy caused by humerus shaft fracture: Early versus delayed treatment of extension type-3 supracondylar fractures of the humerus in children.