Paediatric Fractures
Midshaft Radius & Ulnar
Radius & Ulna Shaft Fractures in 4 year old
Types
- Plastic deformation
- Greenstick
- Displaced
Acceptable Reduction
- < 8 – midsaft 15-20° of angulation
- >8 - midshaft 10° of angulation
- avoid shortening
Treatment
Closed Reduction & POP
Radius & Ulna Shaft Fractures in 4 year old treated with Flexible IM Nailing
- Reduction
- apex volar = pronate
- apex dorsal =supinate
- Local muscle actions must be accounted for
- Prime deforming force
- proximal = supinator
- distal = pronation
- POP
- flat
- molded into an oval
- above elbow
Indications for Surgery
- Absolute
- Open fracture
- Inadequate reduction
- Failure of closed treatment
- Relative
- refracture to prevent losses of ROM in older kid
GAMP Distal Shaft Radius and Ulna Fracture in 4 year old
Distal Shaft Radius and Ulna Fracture in 4 year old
