Discusión entre pares / 5year boy...

Ibrahim Najjar

14 horas

5 year boy - 
1- x ray 5 day after fracture
2- xray after closed reduction 
3- xray after 7 day of close reduction
4- x ray after 12 day of close reduction ...

Ver más

Me gusta · 

• A 4 personas les gusta esto.
• 

  Somnath Chowdhury clearly, there is too much wool inside the cast, hence the cast is not well fitted. u hv to re-manipulate and re-do the cast. since, this is a volar angulation, cast shud be in prone position.

  Hace 14 horas · Me gusta
• 

  Balvinder Singh 5 years old nothing to do its ok !! apply a/e cast !! reduction is ok !!

  Hace 13 horas · Me gusta
• 

  Balvinder Singh 5 years old nothing to do its ok !! apply a/e cast !! reduction is ok !!

  Hace 13 horas · Me gusta
• 

  Rajasekhar Rao P there will be spontaneous correction leave it alone

  Hace 13 horas · Me gusta
• 

  Pradeep Gupta 12 day one can always change the cast as # becomes sticky

  Hace 13 horas · Me gusta
• 

  Harish Kurup First of all why did you do closed reduction?

  Hace 13 horas · Me gusta
• 

  Rajasekhar Rao P what is wrong in doing closed reduction?

  Hace 13 horas · Me gusta
• 

  Harish Kurup We would not in UK.......

  Hace 13 horas · Me gusta
• 

  Rajasekhar Rao P why and what is your choice

  Hace 13 horas · Me gusta
• 

  Balvinder Singh 5 years old closed reduction is only the choice !i dont knw abt uk !!! wht they do plating in 5 years old or wht ???:)

  Hace 13 horas · Me gusta · 3
• 

  Bansal Ajay conservative

  Hace 13 horas · Me gusta
• 

  Anoop R. Nair Conservative only ... Probably in UK its AO technique they follow ..Always Operate .

  Hace 13 horas · Editado · Me gusta
• 

  Harish Kurup I meant we will not do anything in UK other than putting a plaster in clinic for this one !!! I was just questioning the need for closed reduction to start with!

  Hace 12 horas · Me gusta · 2
• 

  Anoop R. Nair Thanks for the clarification .Well Appreciated .

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury what is ur choice of initial treatment, Harish Kurupsir?

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury ok. only Cast.

  Hace 12 horas · Me gusta
• 

  Gopal Goel continue cast and x rays after 3 week interval, not so frequently as you have done

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury if u hav done CR once, and there is loss of reduction, wud u not do a re-MUA and rectify the deformity? @Ibrahim Najjar

  Hace 12 horas · Me gusta · 1
• 

  Manoharan Muthulingam I think X ray shows that pop is cylinder in shape. U must redo CMR and put pop then make the cylinder pop to oval pop.

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury to me, the 12day xray looks as bad/good as the pre reduction xray.

  Hace 12 horas · Me gusta
• 

  Ibrahim Najjar please i dont understand u r question dr somanth

  Hace 12 horas · Me gusta
• 

  Anoop R. Nair @ Somnath what's your take on remodeling in such age group .. Does it need anatomical reduction ?

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury remodelling is pretty good in a 5 yr old

  Hace 12 horas · Me gusta
• 

  Ibrahim Najjar so i will leave it alone ?

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury if the initial xray was good enough for a closed manipulation, then the 12day xray shud also be corrected by closed reduction.

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury its upto u, sir

  Hace 12 horas · Me gusta
• 

  Gopal Goel Ibrahim Najjar leave it alone . This much angulation will disappear in 3-6 months with full ROM

  Hace 12 horas · Me gusta · 2
• 

  Mohamed Salah Hegazy Recoil effect, u should fracture the other cortex

  Hace 12 horas · Me gusta
• 

  Somnath Chowdhury

  

  Hace 12 horas · Me gusta · 2
• 

  Somnath Chowdhury I hope this helps

  Hace 12 horas · Me gusta
• 

  Pravin Kanabar This seems to be a greenstick fracture. It seems to be immobilized in mid pron. These fractures need derotation and then to be put in a cast. Having done this, will prevent deformity. This was well taught to me by Late Mr. J. H. S. Scott of P.M. R. Hospital of Edinburgh. He ussed to emonstrste this by match stick example.

  Hace 12 horas · Me gusta
• 

  Prabir Bala Continue plaster

  Hace 12 horas · Me gusta
• 

  Ahmad Fukhaidah Good job cont on conservative management and will be good alignment and good remodeling

  Hace 12 horas · Me gusta
• 

  Inderpreet Tuteja Create a window at # site of Radius n correct angulation under c~arm c ur thumb

  11 horas · Me gusta
• 

  Osama Sami Alkayar For the reduction it is acceptable, cause angulation until 30 degree in this site and below 10 years will corrected by remodeling, but my concern about the position of wrist joint in th POP, it must be in 30 degree extend position. About the case you well done need just further one week in POP then POP below elbow for 2 weeks.

  11 horas · Editado · Me gusta
• 

  Rupal Patel Definitely non operative. The reason it did not hold reduction is cast index > 0.8 . As Dr Manoharan Muthulingam mentioned in simple words.

  10 horas · Me gusta · 1
• 

  Ramiro Trujillo Gonzalez The cast is too loose, is likely cause loss of reduction, I suggest changing the cast by one more tight and above the elbow to control the PS and and correct the position of the wrist.

  9 horas · Me gusta · 1
• 

  Tapas Talukdar Enough done already. No more manipulation is necessary.

  9 horas · Me gusta · 1
• 

  Jwalant Mehta Swelling ha reduced. Cast is loose. Re manipulate under ga and apply a well moulded cast....above elbow

  7 horas · Me gusta
• 

  Marwan Majid Sulaiman ok

  7 horas · Me gusta
• 

  Jalal Mohiuddin after 12 days,will manipulartion helps??;;

  6 horas · Me gusta · 1
• 

  Bansal Ajay yes will help

  4 min · Me gusta