fractura de húmero proximal con manejo conserva- dor, en el período comprendido .. fracturas de metáfisis distal del radio.9 Dependiendo del tipo de fractura y las se estabilizaban con placas tercio y medio tubo obteniendo resultados de. Las fracturas de antebrazo pueden ocurrir cerca de la muñeca en el extremo más alejado (distal) del hueso, en el medio del antebrazo, o cerca del codo en el . Si su niño es un atleta activo o simplemente un niño pequeño que da brincos en su cama, hay grandes probabilidades de que se caiga, en su casa o en el.
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Bridging plate os- teosynthesis of humeral shaft fractures. Both had arteriograms that identified vascular injuries and underwent exploration and bypass grafting. J Bone Joint Surg Br. The remaining three had persistent absence of radial pulse. All nerve injuries resolved by 6 month follow-up. Ulnar nerve palsies after percutaneous cross-pinning of supracondylar fractures in children’s elbows.
A mini-open procedure is recommended for the ulnar Kirschner wire K-wire to prevent iatrogenic ulnar nerve injury. Another 2 of 9 pts had satisfactory perfusion but no immediate palpable pulse after CRPP surgery. J Bone Joint Surg Am. The ideal position of elbow immobilization depends on the amount of swelling and fractra presence terclo a radial pulse. Cubitus varus is NOT just cosmetic. Radial nerve paralysis associa- ted with fractures of the humerus. The surgical approach was made through the torn soft tissues without further destabilizing or devascularizing the fracture.
The primary cause of deformity was inadequate reduction with medial tilt.
Fracturas supracondileas complejas del humero – ppt descargar
Delay increases the need for open reduction of type-III supracondylar fractures of the humerus. Corrective osteotomy of the distal humerus resolved these problems. Treatment of fractures of the shaft of the humerus ac- companied by paralysis of the radial nerve.
Retrospective study of consecutive pts focusing on fracture patterns. Small prospective randomized controlled trial 21 kids in one group, 22 kids in the other group of therapy versus no therapy for pinned supracondylar fracture patients. Minimally invasive plating osteosynthesis MIPO of middle and distal third humeral shaft fractures. Servicio de ayuda de la revista. J Pediatr Orthop ; Sobre el proyecto SlidePlayer Condiciones de uso. Open reduction and internal fixation for supracondylar humerus fractures in children.
An analysis of 90 patients. The authors believe pre-reduction arteriography is not indicated in these injuries. In cases closed reduction and percutaneous pinning was performed.
Fracturas supracondileas complejas del humero
Osteosynthesis in fractures of the distal third of humeral diaphysis. The authors state that postoperative ulnar nerve palsies usually resolve spontaneously, and they believe that in most cases of postoperative ulnar nerve palsy observation is ppropriate.
Predictors of failure of nonoperative treatment for type 2 supracondylar humerus fractures. Los botones se encuentran debajo.
A review of 62 cases. An alternative method of osteosynthesis for distal humeral shaft fractures. Postoperative radial nerve paralysis caused by fracture callus. Open reduction is indicated for fractures irreducible by closed means, open fractures, fractures associated with vascular compromise, and fractures with a postreduction nerve palsy when anatomic reduction is not obtainable.
Retrograde nailing of humeral shaft fractures. Over a 12 year period, seven children had a pulseless arm and a seemingly viable hand after reduction and pinning of a type III supracondylar humerus fracture. The authors concluded that pinned supracondylars do NOT need to be followed up until the time of pin removal i.
These Israeli authors reviewed supracondylar pts between and and found 30 that were underreduced. In 10 cases vascular impairment or unsatisfactory reduction necessitated open exploration. A case report and suggested classification system. The authors state that all of the other 23 pts demonstrated a degree of ischemic contracture. A retrospective study of cases. Randomized prospective study of humeral shaft fracture fixation: Pulseless arm in association with totally displaced supracondylar fracture.
The treatment of supracondylar fractures in children with an absent radial pulse. If the medial pin appears radiographically to be positioned in the ulnar notch, it may be appropriate to remove it and replace it more anteriorly if tercii pin is needed for stabilization of the fracture.
Arch Orthop Trauma Surg.
J Bone Joint Surg ; 72A: Primary exploration for radial nerve palsy asso- ciated with unstable closed humeral shaft fracture. El seguimiento promedio fue de 22 meses. J Pediatr Orthop ;