Redisplacement of unstable forearm fractures in plaster is common and may be the result of a number of factors. Little attention has been paid to the influence of immobilisation with the elbow extended versus flexed. We prospectively treated 111 consecutive children from two centres with closed forearm fractures by closed reduction and casting with the elbow either extended (60) in China or fle...

BACKGROUND Distal humeral fractures have traditionally been managed with surgical approaches that disrupt the extensor mechanism. We hypothesized that an extensor mechanism-on approach for operative fixation of distal humeral fractures with parallel or orthogonal plate constructs would allow excellent healing, a motion arc of the elbow exceeding 100°, and maintenance of extensor mechanism stren...

BACKGROUND Long-term functional outcomes of supracondylar elbow fractures (SCEF) have not been well documented in the literature. We retrospectively evaluated functional outcomes of pediatric SCEF using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. METHODS We retrospectively reviewed the outcomes of patients who presented to our tertiary care pediatric emergency departm...

Radioulnar synostosis is a rare pathological fusion of the tow forearm bones, when seen in pediatric must differentiate between congenital Synostosis versus post traumatic synostosis, radioulnar uncommon especially if it was closed fracture and treated conservatively. We describe 5 year old girl who presented with 1 following radial head subluxation, full pronation limitation supination compens...

Heterotopic ossification is a common complication of Orthopaedic Trauma Association (OTA) type C distal humerus fractures and ulnohumeral fracture dislocations. The purpose of this study was to precisely define the incidence of heterotopic ossification following major elbow trauma and to identify risk factors for the development of clinically significant heterotopic ossification and for surgica...

Background: Radial head fractures commonly occur during elbow traumas. Among those, treatment of Mason type IIIfractures is still under controversy. Common treatment methods for these fractures include open reduction and internalfixation (ORIF) as well as radial head excision. In this study, we compared long-term outcomes of both methods intreatment of patients with Mason type III fractures of ...

Fractures of the lateral condyle and olecranon are two most common elbow injuries in pediatric age group. However, their simultaneous occurrence is rare. Proper understanding management these essential to prevent long-term complications. This case report presents a patient who suffered both fractures, with surgical intervention for non-surgical olecranon. A two-year-old female child was brought...

Radial head fractures are the most common adult elbow fracture. Our ability to treat these fractures has improved with increased understanding of elbow biomechanics. Based on fracture type, possible treatment includes nonoperative management, open reduction and internal fixation, radial head resection, and replacement arthroplasty. Management and operative technique are discussed.

Introduction: Pediatric radial neck fractures account for 5 to 10% of all elbow fractures [1, . The treatment of radial neck fractures in children varies according to the displacement, angulation, and skeletal maturity. Today open reduction is reserved for comminuted fractures and cases where closed reduction has failed. The purpose of this prospective study was to evaluate the outcome of open ...

BACKGROUND The scaphoid fractures account for 50%-80% of all carpal bone fractures in young individuals. Non-union of the fracture occurs in approximately 5%-10% of undisplaced scaphoid fractures. Current management varies significantly among different places and surgeons. OBJECTIVES The purpose of this review is to investigate the evidence of the effectiveness and safety of various treatment...