Discusión entre pares / 7 year old child with gross swelling, Neuro vascular status normal. Management protocol?

Indian-Orthopaedic Research-Group FB

DrManoj Agrawal

20 de abril a la(s) 11:50

7 year old child with gross swelling, Neuro vascular status normal. Management protocol?

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  Shailendrasingh Thakur Gross swelling.....put Dunlop's traction till swelling subsides. Then go for close reduction. sos stabilisation with k wire.

  20 de abril a la(s) 11:57 · Me gusta
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  Atef Ortho Ortho Slipped lower humeral epiphysis .. very rare in this age . Can be treated same as supracondylar fracture humerus .. closed reduction with pinning or orif with pinning if closed redution fails

  20 de abril a la(s) 12:11 · Editado · Me gusta · 6
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  Rajeev Nirawane Distal humerus physeal separation. to be treated like supracondylar as said by dr Atef. Swelling wont subside unless one reduces it. key to differentiate from lateral condyle is to look for the radiocapitellar alignment. its disturbed in lateral condyle # maintained in physeal separation

  20 de abril a la(s) 12:20 · Me gusta · 7
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  Rakesh Agarwal this is epiphyseal separation with postero latera dislocation elbow, reduce it as early as possible may be open reduction if required and k wire fixation for fixation of lateral condyle

  20 de abril a la(s) 12:21 · Me gusta · 1
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  Ehab Hussein Can i suggest CT scan?

  20 de abril a la(s) 12:35 · Me gusta
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  Rakesh Agarwal not really necessary sir

  20 de abril a la(s) 12:36 · Me gusta
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  Atef Ortho Ortho The x ray is diagnostic . In x rays like this We have 3 conditions that should be diffrentiated from each others . 1. Fracture lateral humeral condyle 
  2. Slipped lower humeral epiphysis 
  3. Elbow dislocation 
  The first 2 conditions had been diffrentiated nicely by dr Rajeev .no 3 .. you will find capitillum in its place in lower humerus and possible radioulnar dissociation .

  20 de abril a la(s) 12:43 · Editado · Me gusta · 2
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  Rajeev Nirawane Its radiological diagnosis

  20 de abril a la(s) 12:44 · Me gusta
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  Sanjay Sharma crif or orif with crossed k wire

  20 de abril a la(s) 14:51 · Me gusta · 1
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  Alhamwi Talal Closed reduction then fixation with 2 K wires from lateral side... if not good reduction ORIF Kwires

  20 de abril a la(s) 15:50 · Me gusta · 1
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  Md Tauqirul Hasnain T/t like s.c fracture, use your c-arm, I know u can do it.

  20 de abril a la(s) 22:49 · Me gusta · 1
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  Mandar Acharya Intraop arthrogram will help

  21 de abril a la(s) 0:35 · Me gusta
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  Mithilesh Kumar Fracture lateral condyle. Reduce it by giving traction.apply pop slab .after 4days go for open reduction through lateral approach and apply two k wires 2mm