Twenty-five pediatric orthopedic surgeons reviewed sets of posteroanterior PA , oblique, and lateral finger radiographs of children less than 17 years of age. All of the fractures were metaphyseal fractures in the coronal plane and typical Salter-Harris II fractures in the sagittal plane. The semi-sterile technique is a safe and cost effective alternative that should be used when performing CRPP of all pediatric upper extremity fractures. Patterson classified these deformities into simple ring constrictions, constrictions with distal deformity with or without lymphoedema , constrictions accompanied by fusion of distal parts and uterine amputation. Most cases of this rare condition are reported in the lower limbs, and occurrence of upper limbs is relatively rare. Simple statistics and unpaired t-tests were performed. It is associated with deformities in forearm, arm and several other systemic anomalies. A retrospective review was conducted over a five-year period to identify all pediatric patients who underwent CRPP of an upper extremity fracture.
Two mayor surgeries are carried out: All hand procedures were performed by a single surgeon over a period of 10 years. Type 4 Bayne radial deficiencies were most common and type 5 Blauth hypoplastic thumb was most common finding. Simple statistics and unpaired t-tests were performed. Treatment of fifth metacarpal neck fractures in the pediatric population is not standardized. Other diagnoses include conditions presenting with arthrogryposis as their main feature Freeman-Sheldon syndrome; Beals syndrome , cases where congenital contractures are described, but are not a typical sign of the condition DiGeorge syndrome; Ohdo syndrome or can be part of an unexpected diagnosis for a patient referred for contractures of extremities 16p We studied the functional outcome one year after Constraint Distal Radioulnar Joint Replacement in patients with moderate to severely affected DRUJ ulnar tilt 37 degrees from 32 to 60 and lunate subsidence 2mm -2 to 5. The osteotomy can be performed only if 1. Hypoplasia of the thumb occurs within a spectrum of hypoplasia along the radial side of the entire upper extremity It is a rare congenital deformity affecting 1 in , live births. Short arm splint was applied for 4 weeks and K-wires were removed at postoperative 5 weeks and protective physiotherapy was initiated. These assist accurate clinical evaluation and increase the chance of providing a precise genetic diagnosis and correct genetic counselling. The relationships with the families are strengthened, as is adherence to treatment programmes. And recurrence was seen in the case of third metacarpal bone, so we performed resection surgery again. After excisional surgery, there are reports of arthritic changes and recurrence, so careful follow-up is necessary. The patient underwent free vascularized iliac crest bone-grafting to minimize the risk of necrosis to the lateral humeral condyle fracture nonunion with microvascular anastomosis and screw fixation of the fragment. Worsening angulation above approximately 50 degrees and increasing age adolescence appear to be the most important factors when deciding to operate. Methods A retrospective review of children with CRS of the upper limbs referred to a specialist centre was performed. Appropriately timed staged surgical intervention maximizes function in these complex patients. At 4 weeks after onset, the middle phalanx fractured and fixed with the splint. The indications for operative treatment are currently evolving. In Indian context there were very less studies describing anomalies and this study aims at describing this anomaly. All studies reported post-operative pain reduction in a majority of patients and nearly all studies reported an improved range of motion. Fracture angulation measurements were made for the lateral and oblique views, with half of the images unmarked to assess the effect of marked angulation on treatment decision. Serum rheumatic response was also negative, but antinuclear antibody was positive at times. It is associated with deformities in forearm, arm and several other systemic anomalies. Male to female ratio was 2.
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