Lesiones nerviosas agudas en fracturas supracondileas del húmero en niños. Rev Mex Ortop Ped ; 1 (2). Language: Español References: Page: Presentación del tema: “Fracturas supracondileas complejas del humero”— . 26 niños remitidos a este centro por mano rosada sin pulso con seguimiento. Clasificación de las fracturas de Müller AO. Placas en puente sobre la conminución. Atornillado transversal simple o placa.
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The primary cause of deformity was inadequate reduction with medial tilt. Only 4 patients had medial pins removed prior to fracture union, and 2 others had exploration of the ssupracondileas nerve demonstrating no interruption. Each was explored immediately and found to have a significant vascular injury requiring repair. These authors recommended treating such supracondylars at the earliest opportunity. The author recommends exploration rather than simple pin removal.
Aqui sale la manobra de reduccion de las de flexion. Esto puede ser porquese haya pasado por alto la lesion del interosio anterior que es solo motoa, o que se haya sumado a la lesion del mediano como tal la lesio del interoseo anterior que es rama vracturas este.
Mapes R, Hennrikus W.
FRACTURAS SUPRACONDILEAS by Sand Kriño on Prezi
Between anddisplaced fractures were treated by operative means. Predictors of failure of nonoperative treatment for type 2 supracondylar humerus fractures. In the 6th case the nerve was anteriorly subluxated and supracondilras anterior to the medial epicondyle by the pin. Only 2 of 9 of the pulseless and POORLY perfused pts had both return of perfusion and pulse following reduction and fixation.
Cubitus varus is NOT just cosmetic. Pooled data from 5, patients and 5, fractures was used in this study.
Manipulation of pediatric supracondylar fractures of humerus in prone position under general anesthesia. This paper addresses issues related to sagittal and coronal alignment of supracondylar humeral fxs.
Seven patients had a cold white hand suprracondileas closed reduction and pinning, and received open reduction and arterial exploration. Gosens T, Bongers KJ.
Risk factors for vascular repair and compartment syndrome in the pulseless supracondylar humerus fracture in children. The authors conclude that angiography is of little use and that color flow duplex imaging deserves further study.
Fractura Supracondílea del Fémur by Fernando Chimalpopoca on Prezi
Explorar si persisten los signos de isquemia. Management of vascular fractuas in displaced supracondylar humerus fractures without arteriography. Cubitus varus associated with dislocation of both the medial portion of the triceps and the ulnar nerve. Tardy posterolateral rotatory instability of the elbow due to cubitus varus.
Mini-open para el pin medial La bolita roja dice que no es tan cierto. Brachialis muscle entrapment in displaced supracondylar humerus fractures: Zorrilla-Ribot aA.
Fractura Supracondilea De Humero
One of these two children had been transferred 48 h after injury, resulting in delay of management of his vascular impairment. J Pediatr Orthop ; Ulnar nerve injury after K-wire fixation of supracondylar humerus fractures in children.
De ellos, 52 fueron incluidos en el estudio. J Hand Surg-Am ; Ulnar nerve palsies after percutaneous cross-pinning of supracondylar fractures in children’s elbows. We conclude that forearm pressures after supracondylar fracture are greatest in the deep volar compartment and closer to the fracture site.
Of supracondylar humerus fractures treated over 4 year period by closed or open reduction and percutaneous pinning, 19 patients with normal preoperative neurologic examinations developed postoperative ulnar nerve palsies. El articulo reporta que con a literatura disponible no es vaible defnir cual tecnica es mas segura y que se necesitaria un estudio prospectivo con al menos pts para poder definir las diferencias en las ratas de complicacion entre las tecnicas.
Early versus delayed treatment of extension type-3 fffffffffffffffffffffffffffffffffffff supracondylar fractures of the humerus in children.
No significant differences in complication rates were identified. The brachial artery was directly damaged or transected and underwent saphenous vein graft repair in 3 cases, and was entrapped in the fracture and dissected free in 4 cases.
The mean follow-up time was 9.
Fracturas supracondileas complejas del humero
Regression analysis was used to study the evolution of the rotational deformity and its relation with different parameters: Posterior instability of the shoulder after supracondylar fractures recovered with cubitus varus deformity.
There were em iatrogenic ulnar nerve palsies.
Fracturas desplazadas no complicadas no tienen que ser tratadas en la noche. Symptomatic snapping of the triceps tendon can occur, as well as development of ulnar neuropathy. In cases closed reduction and percutaneous pinning was performed. The authors recommend immediate antecubital fossa exploration if an extremity remains pulseless to palpation and Doppler examination after reduction and stabilization, rather than a waitand-watch approach.
Prognostic Level I study published in American JBJS that documents what many orthopaedists have suupracondileas in their own practices … that most of the elbow motion following this injury returns within the first 4 weeks after cast removal with additional small gains taking almost up to one year.
J Pediat Orthop ; J Pediatr Orthop ; 18 1: SRJ is a prestige metric based on the idea that not all citations are the same.