class slides

1. SUPRACONDYLAR FRACTURES IN CHILDREN DEPT. OF ORTHOPEDICS MMMC

3. JONE’S VIEW- IN INJURED ELBOW , POST REDN. [ With elbow in full flexion ]

6. Lateral view Tear drop sign Ant. dense line – represents the post margin of the coronoid fossa Post. dense line- represents the ant margin of olecranon fossa Inf margin is capitellum

10. SHAFT CONDYLAR ANGLE- 30 DEG ANT HUMERAL LINE PASS THR. MIDDLE THIRD OF OSSIFICATION CENTER OF CAPITELLUM

13. What are the problems you see here? Test your Ortho. Sense.

23. Pucker sign/ Brachialis sign

24. Brachialis Sign- Proximal Fragment Buttonholed through Brachialis

25. Milking Maneuver- Milk Soft Tissues over Proximal Spike From Archibeck et al. JPO 1997

26. POST MEDIAL POST LATERAL

36. Type 2: Angulated/displaced fracture with posterior cortex in contact

49. Type ii (displaced with post cortex in contact) Treatment – closed reduction under anaes Traction is applied followed by correction of rotational deformity Extension deformity is corrected with pressure by thumb over the olecranon

50. Necessity for hyperflexion

52. METHOD OF CLOSED REDN. UNDER GEN. ANAES

55. Percutaneous K wire fixation

57. CLOSED REDN WITH K WIRE FIXATION

62. Medial coloumn collapse Can lead to varus deformity from simple closed redn. If no stabilization is done

63. Medial Impaction Fracture Type II fracture with medial impaction – not recognized and varus / extension not reduced

64. Medial Impaction Fracture Cubitus varus 2 years later

72. Myositis Ossificans

78. Flexion Type

79. Flexion Type - Pinning

80. ??????

81. H/o,FOOSH What is your diagnosis?

84. THANK YOU