Fractures of the Foot

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Fractures of the Foot

Accessory bone Prevalence (%) Clinical significance Differential diagnosis Os trigonum 1–25 Synchondrotic degeneration or tear Posterior ankle impingement syndrome Flexor hallucis longus tendon entrapment Shepherd’s fracture Cedell’s fracture Pseudoarthrosis Accessory…

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Ankle Injuries

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Ankle Injuries

Figure 9.1 Diagram showing the ligaments around the ankle The distal tibial ossification centre appears between 6 and 24 months of age and the distal fibular ossific centre around 9–24…

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Non-accidental Injury

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Non-accidental Injury

Skull Anterior posterior (AP), lateral, and Towne’s view (the latter if clinically indicated) Skull radiographs should be taken with the skeletal survey even if a CT scan has been or…

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The Paediatric Hip and Pelvis

Sep 18, 2016 by in ORTHOPEDIC Comments Off on The Paediatric Hip and Pelvis

Figure 5.1 An X-ray showing an avulsion fracture of the right anterior superior iliac spine     Tile and Pennal A. Stable fractures. A1. Avulsion fractures.   A2. Undisplaced pelvic…

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Fractures of the Spine in Children

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Fractures of the Spine in Children

  Child Adult Multiple level INJ Less common Common Structure injured Ligaments/soft tissues Bone Upper C-spine (%) 70 15 Spinal cord INJ (%) 10 30 SCIWORA (% of SCI) 16…

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Trauma of the Knee

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Trauma of the Knee

Figure 7.1 Radiographs of a distal femoral physeal injury and fixation using two parallel screws A long leg cast should be applied for 4–6 weeks. 7.1.1.6 Follow-Up K-wire pin sites…

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Sports Injuries in Children

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Sports Injuries in Children

Figure 11.1 Lateral radiograph demonstrating L5/S1 spondylolysis 1. Grade I—0–25% slip.   2. Grade II—26–50% slip.   3. Grade III—51–75% slip.   4. Grade IV—76–99% slip.   5. Grade V—Spondyloptosis,…

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The Response to Injury in the Child & Bone Healing

Sep 18, 2016 by in ORTHOPEDIC Comments Off on The Response to Injury in the Child & Bone Healing

Figure 1.1 The Salter-Harris classification (Reprinted with permission from Rockwood and Wilkins’ Fractures in Children Lippincott Williams & Wilkins, 2010) 1.6 Physeal Injuries and Arrest 1.6.1 Epidemiology Physeal injuries are…

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