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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La alta es por encima de la fosa olecraniana.
These authors compared two management strategies for perfused but pulseless supracondylars: Skeletal traction, however, provided acceptable results in some patients who had significant soft-tissue swelling. No significant differences in himero rates were identified.
Functional treatment of closed humeral shaft fractures. J Orthop Trauma ; Distal pulses were reestablished in each case, and long term outcome was good. Comparison of initial nonoperative and operative management of radial nerve palsy associated with acute humeral shaft fractures. Chang G, Ilyas AM. All recovered without sequelae, except for one case. J Pediat Orthop ; 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.
Minimally invasive terrcio osteosynthesis and vascularity: The authors concluded that an absent radial pulse after closed reduction does not require routine exploration if the hand is well-perfused. Percutaneous pinning provided the highest number of good results and is recommended as the treatment of choice for most fractures. Surgical technique for supracondylar fracture of the humerus with percutaneous leverage pinning.
Throwing fracture of the humeral shaft. Minimally invasive percutaneous plate osteosynthesis MIPPO technique applied in the treatment of humeral shaft distal fractures through a lateral approach. J Orthop Trauma ; 10 6: The authors state that all of the other 23 pts demonstrated a degree eistal ischemic contracture. Anatomic and functional results in cases and a review of the literature. J Pediatr Orthop ; 2: J Bone Joint Surg ;A: Early versus delayed treatment of extension type-3 supracondylar fractures of the humerus in children.
Fracturas supracondileas complejas del humero – ppt descargar
Ulnar nerve injury after K-wire fixation of supracondylar humerus fractures in children. A prospective, randomised trial. Retrospective study of consecutive pts focusing on fracture patterns.
Crossed pin fixation of displaced supracondylar humerus fractures in children. We conclude that forearm pressures after supracondylar fracture are greatest in the deep volar compartment and closer to the fracture site.
Effect of distal humeral varus deformity on strain in the lateral ulnar collateral ligament and ulnohumeral joint stability. The authors calculated the number needed to harm NNH such that for every 28 patients treated with crossed pinning, 1 ulnar nerve injury would occur.
Eleven cadaveric elbows were instrumented and studied and demonstrated that cubitus varus increases strain in the LUCL with corresponding increased ulnohumeral joint instability. Postoperative stiffness was not common, as only six patients had loss of extension of 10 degrees or more.
An analysis of 90 patients. J Should Elbow Surg: J Pediatr Orthop ; 18 1: Delayed treatment of type 3 supracondylar humerus fractures in children. No significant differences in perioperative complications were identified.
Predictors of failure of nonoperative treatment for type 2 supracondylar humerus fractures. Their average carrying angle was negative 2 degrees or a Bauman angle of approximately 92 degrees. Symptomatic snapping of the triceps tendon can occur, as well as development of ulnar neuropathy.
Fracturas supracondileas complejas del humero
Helical plate fixation for treatment of comminuted fractures of the proximal and middle one-third of the humerus. In the 6th case the nerve was anteriorly subluxated and fixed anterior to the medial epicondyle by the pin. Six cases of lateral condylar fracture of the humerus in children with preexisting cubitus varus due to prior elbow fracture are presented. Todas las fracturas consolidaron. The distxl report three patients with cubitus varus, snapping medial head of the triceps, dislocating ulnar nerve, and posterior shoulder instability believed to be related to excessive internal rotation of the humerus.
J Pediatr Orthop ; 11 2: