The radiograph below represents a 9-year-old male who sustained a distal femur fracture and the initial displacement seen in the radiograph makes him a very high risk. # Sometimes, the damage to your knee can be severe enough that it cannot be completely reversed with surgery. Distal femur fractures remain challenging injuries, check out this video today. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. A displaced SH 1 distal femur fracture. Remodelling potential in physis: greatest potential sites (2) PLane of motion; Close to active physis: Prox humerus, distal radius, distal femur, prox tibia. Salter-Harris II fractures of the distal femur are the most common pattern in children, and will be the focus of this review. Based on the fracture pattern and resting position of the fragments, the mechanism of injury was likely a hyperextension injury. Poolman RW, Kocher MS, Bhandari M. Pediatric femoral fractures: a systematic review of 2422 cases. Distal Femoral Physeal Fractures - Pediatric 18 19: Cavovarus Foot in Pediatrics & Adults 17 20: Medial Epicondylar Fractures - Pediatric ... Proximal Femur Fractures - Pediatric 13 … Medial epicondyle fracture - Pediatric elbow - detailed lecture by NAV MED VIDEOS. Rockwood and Wilkins’ Fractures in Children, 7 th Ed. Femoral shaft fractures. • Comminuted distal femur fracture with intraarticular extension • Apex posterior angulation (Recurvatum) • AO-OTA type 33-C3 • CT knee summary: • Intraarticular air suggesting open fracture • Fractures in the sagittal and coronal plane • Fibular head fracture. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. 2006; 20(9): 648-54. "Distal femoral physeal fractures are associated with a high rate of complications. These challenging fractures are also most at risk for infection, and infection can cause bone healing problems. http://www.orthobullets.com/video/view?id=1848 In more complex fractures, CT is used to delineate intra-articular extension, degree of comminution, and fracture lines in the coronal plane. A retrospective review of femoral fractures in children at the authors' institution was undertaken to ascertain the incidence of supracondylar femoral fractures, the influence of associated musculoskeletal conditions, and pitfalls of management. Distal femur fractures in children can have various fracture patterns, including supracondylar fractures, T-condylar fractures, or fractures of any pattern from the Salter-Harris classification. appropriate for fractures of the distal femur, other fracture patterns will be mentioned. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. A recent study re-ported coronal plane fracture in 38.1% of all distal femoral fractures, with the lateral condyle most fre- quently involved.5 In that study, plain radiography missed 31% of coronal plane fractures. A modified anterior approach to the distal femur is presented. 5:56. Treatment that allows early motion of the knee lessens the risk of knee stiffness, and prevents problems caused by extended bed rest, such as bed sores and blood clots. Nonphyseal supracondylar fractures of the femur are considered to be uncommon in children and have received little attention in the literature. Fractures without articular involvement (33A fractures) can be treated with antegrade nails, retrograde nails, and lateral plate constructs. the distal femur. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. The choice of implant in these injuries is largely dependent upon the surgeon’s comfort, the patient’s associated Pediatrics - Orthobullets - Pediatric orthobullets Home ... More. In the treatment of these injuries, it is important to keep in mind that pediatric femoral fractures differ from adult femoral fractures in several key respects, and these differences affect management. present in 60% of dislocations; soft tissue injuries patellar tendon rupture; periarticular avulsion; displaced menisci; Prognosis. The Orthobullets Podcast In this episode, we review the high-yield topic of Proximal Femur Fractures from the Pediatrics section. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. 13:33. (Arkader, 2007; Riseborough 1983; Thompson 1995). Kocher MS et al. J Orthop Trauma. Pediatric distal femoral fractures are notorious for growth arrests. Flynn JM, Skaggs DL. The quadriceps muscle bellies are spared during the approach. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. PMID: 17088672. Trauma High-Yield Topics. The approach allows surgical exposure of the entire articular surface of the distal femur. Treatment of pediatric diaphyseal femur fractures. Distal radius fractures Top 5 management tips by OrthoClips. Orthopaedic Educational Services, Inc. © 2017 Orthopaedic Educational Services, Inc. all rights reserved. Gartland type 2A fractures with mild swelling and no medial comminution can also be treated nonoperatively. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatrics section . Pediatric femoral fractures may involve the proximal femur, the femoral shaft, or the distal femur. Distal Femur FX Knee Patella Fracture ... fractures. 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