Discusión entre pares / One week old fracture in 8 year old child. Options ?

Indian-Orthopaedic Research-Group

Tushar Mehta

4 horas · Badshahpur, India

One week old fracture in 8 year old child.
Options ?

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  Shashank Hore Cr ga still gd

  4 horas · Me gusta
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  Pedro Jorba Monteggia fracture. Reduction of the ulna under anesthesia, which should reduce the radial head. If not, open reduction of both.

  4 horas · Me gusta · 2
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  Javed Shaikh MUA will do sir

  3 horas · Me gusta
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  Pravin Kanabar Is it Montegia fracture dislocation. We must have a true A.P. and lateral views of elbow.

  3 horas · Me gusta · 1
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  Shivendra Sinha attempt closed reduction for both radial head and ulna under c-arm by manual traction and counter traction

  3 horas · Me gusta · 1
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  Shashank Hore To diagnose m # dis u need dead lat

  3 horas · Me gusta
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  Chetan Jaju True lateral is required with elbow in 90 degrees

  3 horas · Me gusta
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  Pedro Jorba I agree that it would be desirable to see a lateral elbow, but the diagnosis of Monteggia can be made with the available images; the radial head is clearly dislocated in the first photo

  3 horas · Me gusta
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  Gopal Goel This is GS # ulna . Needs Osteoclasis under GA and Cast immobilization. There is no radial head dislocation as can be judged by its relation to capitullum which is constant

  3 horas · Me gusta
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  Pedro Jorba The radial axis doesn't intersect the center of the capitellar nucleus; it's a Monteggia

  

  3 horas · Me gusta
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  Bibek Rai Type2 monteggia #. Close reduction and pop cast.

  2 horas · Me gusta · 1
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  Tapas Talukdar Paediatric Monteggia/ Montrggia equovalent. Close reduction and k wire. k wire should pierce the cortex of distal fragment. No need to reconstruct annular lig. Radial head will reduce spontaniously.

  2 horas · Me gusta