Orthopedics Archive

Foot Injuries in Children

Foot fractures in children account for about 6% of all fractures and about half involve the metatarsals (MTs). Soft tissue injuries are relatively common because the child’s foot is vulnerable to injury.

Complications of fractures in children

The major challenge in managing trauma is avoiding complications. Children’s fractures generally heal quickly. Vascular complications are uncommon, nerve injuries usually recover with time, and joint motion recovers spontaneously. In general, outcomes are excellent, unless problems develop.

Pathologic Fractures in Chilrden

Pathologic fractures are relatively common in children. Fractures frequently occur through osteopenic bone in children with neuromuscular disorders and through bone weakened by tumors.

Fixation of children’s fractures

Fixation of children’s fractures have become more widely practiced than in previous decades. This is due in part to the increasing costs of hospitalization. The principles of internal fixation include the following: Supplement with cast Internal fixation

Fracture reduction in children

Indications for the need and accuracy of fracture reduction in children are often complex and require good judgment. Base these decisions on underlying principles whenever possible. Unfortunately, data on which to base these principles is limited. Some

Physeal Injuries

Physeal injuries account for about one-fourth of all childhood fractures. They are most common in boys, in the upper limb, and in childhood. Physeal injury may also occur from infection, tumors, or ischemia. Physeal fractures are of

Finger deformities in Children

Finger deformities in children can be grouped into general categories. Finger deformities are often genetic, and the genes responsible for preaxial polydactyly, cleft hand and foot malformations, synpolydactyly, and types of brachydactyly have recently been identified.

Thumb deformities in Children

Thumb Hypoplasia Thumb hypoplasia is usually part of the radial dysplasia spectrum and accounts for about 5% of congenital hand anomalies. Management is determined by the type of displasia and associated syndromes or anomalies.

Hand Deformities in Children

Radial and ulnar dysplasia show major differences.

Chronic Arthritis in Children

Pauciarticular arthritis, seropositive rheumatoid arthritis, autoimmune disorders, leukemia, sickle cell disease, child abuse, and infections are causes of joint problems in the child’s hand. Juvenile chronic arthritis is most common.