FRACTURAS SUPRACONDILEAS EN NIOS PDF
Lesiones nerviosas agudas en fracturas supracondileas del húmero en niños. Rev Mex Ortop Ped ; 1 (2). Language: Español References: Page: Presentación del tema: “Fracturas supracondileas complejas del humero”— . 26 niños remitidos a este centro por mano rosada sin pulso con seguimiento. Clasificación de las fracturas de Müller AO. Placas en puente sobre la conminución. Atornillado transversal simple o placa.
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These authors analyzed 45 kids with uncomplicated supracondylar fxs and 16 with lateral condyle fxs. Early versus delayed treatment of extension type-3 supracondylar fractures of the humerus in children.
Fracturas supracondileas complejas del humero
Pain on extension of the small and fingers, and early clawing were important postoperative signs of ulnar nerve injury. Traditional review paper of the pulseless yet perfused hand.
Between anddisplaced fractures were treated by operative means. Biomechanical analysis suggests that both the torsional moment and the shear force generated across the capitellar physis by a routine fall are increased by varus malalignment.
Vascular injuries and their sequelae in pediatric supracondylar humeral fractures: Bunnel WP, Duhaime M, et al: Symptomatic snapping of the triceps tendon can occur, as well as development of ulnar neuropathy. One of these two children had been transferred 48 h after injury, resulting in delay of management of his vascular impairment. The author recommends exploration rather than simple pin removal.
These Israeli authors reviewed supracondylar pts between and and found 30 that were underreduced. Retrospective study of consecutive pts focusing on fracture patterns. Pooled data from 5, patients and 5, fractures was used in this study.
Fractura Supracondilea De Humero –
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. Six cases of lateral condylar fracture of the humerus in children with preexisting cubitus varus due to prior elbow fracture are presented. The authors concluded that an absent radial pulse after closed reduction does not require routine exploration if the hand is well-perfused. Print Send to a friend Export reference Mendeley Statistics.
The authors describe excellent results in 49 type III fractures after all were treated with crossed K wire fixation and all had a medial incision to place the medial K wire.
Retrospective review of su;racondileas III fractures did not find any correlation between length of time between injury and surgical treatment with regard to increased operative time, need for open reduction, length of hospital stay or unsatisfactory result. Subscriber If you already have your login data, please click here.
El articulo reporta que con a literatura disponible no es vaible defnir cual tecnica es mas segura y que se necesitaria un estudio prospectivo con al menos pts para poder definir las diferencias en las ratas de complicacion entre las tecnicas.
Seven patients had a cold white hand after closed reduction and pinning, and received open reduction and arterial exploration. Nerve injuries associated with pediatric supracondylar humeral fractures: Estudio con evidencia debil pero no se uede rendomizar por cuetiones eticas. Manipulation of pediatric supracondylar fractures of humerus in prone position under general anesthesia. She was treated non-operatively 3 weeks in a cast.
Ulnar nerve instability in children. By 3 yrs post-injury she had a 96 degree Baumann angle on the injury side. Distal pulses were reestablished in each case, and long term outcome was good.
Fractura Supracondílea del Fémur by Fernando Chimalpopoca on Prezi
Percutaneous pinning provided the highest number of good results and is recommended as the treatment of choice for most fractures. These authors recommended treating such supracondylars at the earliest opportunity. Skeletal traction, however, provided acceptable results in some patients who had significant soft-tissue swelling.
Prospective longitudinal evaluation of elbow motion following pediatric supracondylar humeral fractures. Effect of distal humeral varus deformity on strain in the lateral ulnar collateral ligament and ulnohumeral joint stability. Treatment consisted of lateral collateral ligament reconstruction and corrective osteotomy.
Of them, 52 were included in the study. J Bone Joint SurgAm ; A mini-open procedure is recommended for the ulnar Kirschner wire K-wire to prevent iatrogenic ulnar nerve injury. Clin Orthop Rel Res ; After shpracondileas and nerve decompression, 3 fully recovered, 2 partially recovered and one patient had no recovery.
The reduction achieved is important in treatment, but there are probably other, less known factors that influence fracture remodelling. Posterior instability of the shoulder after supracondylar fractures recovered with cubitus varus deformity. J Should Elbow Surg: Toward a goal of prevention.