Olecranon Fractures Michael B. Millis, MD James R. Kasser, MD Open Reduction Internal Fixation Indications Displaced fracture resulting in an incongruent joint (Figure 10-1) Sterile Instruments/Equipment Depends on planned tension…

Lateral Condylar Humerus Fractures Andrea S. Bauer, MD Closed Reduction Percutaneous Pinning and/or Screw Fixation Surgical Indications Displaced lateral condylar fracture with >2 mm joint displacement (Figure 6-1) Equipment Smooth…

Medial Epicondyle Fracture Distal Humerus Fracture Daniel J. Hedequist, MD Open Reduction Internal Fixation Indications Incarcerated medial epicondylar fragment in the joint (Figure 7-1) Unstable elbow dislocation with a displaced…

Diaphyseal Humerus Fractures Operative Treatment Brian Snyder, MD, PhD A vast majority of pediatric and adolescent humeral shaft fractures can be treated closed, including fractures Holstein-Lewis pattern and radial nerve…

Proximal Humerus Fractures Matthew D. Milewski, MD CLOSED REDUCTION, PERCUTANEOUS PINNING Indications Irreducible fracture with interposed biceps Marked displacement in near skeletally mature that will not remodel and will result…

Midshaft Clavicle Fractures: Operative Indications Benton Heyworth, MD Open fracture Tented skin at risk of necrosis and open fracture (Figure 2-1) Neurovascular injury Floating shoulder girdle Polytrauma (relative) Completely displaced…

Sternoclavicular Joint Posterior Fracture-Dislocations Andrea S. Bauer, MD Posterior sternoclavicular dislocations are difficult to diagnose acutely and often require a CT scan. Preoperative CT/MRI will identify physeal fracture versus sternoclavicular…