Orthopaedic MD

Archive Copy: - 1999 Annual Meeting Scientific Program. Femoral Fractures in Children and Adolescents: Consensus and Controversy
Moderator(s): James H. Beaty, MD, Memphis, TN Monday, February 8, 1999 SYMPOSIUM
James R Kasser, MD, Boston, MA Scott J Mubarak, MD, San Diego, CA Charles Turner Price, MD, Orlando, FL William W Robertson Jr, MD, Washington, DC John F Sarwark, MD, Chicago, IL
Femoral shaft fractures are relatively common injuries in children and adolescents. In children 6 to 10 years of age and in older adolescents, treatment indications for isolated femoral shaft fractures often overlap. Spica casting, external fixation, flexible intramedullary nailing, locked intramedullary nailing, and compression plating all have been recommended in various age groups, making treatment decisions difficult. Faculty with experience in each type of treatment will discuss indications and contraindications, advantages and disadvantages, technique pearls and pitfalls, outcome, complications, and cost analysis of the various methods. Emphasis will be on choosing the most appropriate treatment method for each individual patient.

Femoral neck fractures in the young adult are a different type of fracture than those seen in the elderly. These younger patients have normal bone density. A simple fall is not going to break the femoral neck. These fractures require high energy type injury mechanisms, and greater than 50% of the patients will have associated injuries as a reflection of the severity of their injury. The mechanisms is usually an axial load to the lower extremity with an abducted hip. The fracture pattern in these patients tends to be more vertical than in the elderly patient.
OTA Basic Fracture Course

Chip Rout: OTA Basic Fracture Course Femoral shaft fractures in children are a little difficult to deal with, especially if you are taking care of them sporadically and especially when they are associated with polytrauma.

Also discusses whether to remove flexible nails from a patient with Osteogenesis Imperfecta

List of topics associated with Paediatric Elbow Injuries
- Distal Humeral Physeal Separation:
- Elbow Dislocation
- Lateral Condyle Fracture
- Medial Condyle Fracture
- Medial Epicondyle Fracture
- Nursemaid's Elbow
- Olecranon Fracture
- Osteochondritis
- Osteochondrosis of Medial Epicondyle
- Radial Neck Fracture
- Supracondylar Fracture of Humerus
- Throwing Elbow Injuries Wheeless' Textbook of Orthopaedics

Supracondylar Elbow Fractures: Pediatric
Kathryn Cramer MD
OTA Basic Fracture Course

Fracture pattern of accidental aetiology but commonly mistaken for abuse

Discussion on OTA list

Acute Musculoskeletal Injuries

HTML document for the World Wide Web

MONTEGGIA FRACTURES

LATERAL CONDYLE FRACTURE THROUGH THE CAPITELLUM IN A CHILD

Fracture of the Proximal Tibial Epiphysis

Post Traumatic Tibial Valga, The Alfred I. duPont Institute

Clavicle Fractures