Book contents
- Postgraduate Orthopaedics
- Postgraduate Orthopaedics
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgements
- Abbreviations
- Interactive website
- Section 1 The FRCS (Tr & Orth) Oral Examination
- Section 2 Adult Elective Orthopaedics and Spine
- Section 3 Trauma
- Chapter 9 General principles and fracture biomechanics
- Chapter 10 Lower limb trauma I
- Chapter 11 Lower limb trauma II
- Chapter 12 Upper limb trauma I
- Chapter 13 Upper limb trauma II
- Chapter 14 Pelvic trauma
- Chapter 15 Spinal trauma
- Chapter 16 Paediatric trauma
- Section 4 Children’s Orthopaedics/Hand and Upper Limb
- Section 5 Applied Basic Sciences
- Section 6 Drawings for the FRCS (Tr & Orth)
- Index
- References
Chapter 16 - Paediatric trauma
from Section 3 - Trauma
Published online by Cambridge University Press: 15 November 2019
Book contents
- Postgraduate Orthopaedics
- Postgraduate Orthopaedics
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgements
- Abbreviations
- Interactive website
- Section 1 The FRCS (Tr & Orth) Oral Examination
- Section 2 Adult Elective Orthopaedics and Spine
- Section 3 Trauma
- Chapter 9 General principles and fracture biomechanics
- Chapter 10 Lower limb trauma I
- Chapter 11 Lower limb trauma II
- Chapter 12 Upper limb trauma I
- Chapter 13 Upper limb trauma II
- Chapter 14 Pelvic trauma
- Chapter 15 Spinal trauma
- Chapter 16 Paediatric trauma
- Section 4 Children’s Orthopaedics/Hand and Upper Limb
- Section 5 Applied Basic Sciences
- Section 6 Drawings for the FRCS (Tr & Orth)
- Index
- References
Summary
This 10-year-old boy was hit by a car while crossing the road and sustained a closed head injury with GCS 8/15. He has been intubated because he is combative. A secondary survey has revealed this associated limb injury (Figure 16.1).
I can see a shoulder trauma series with an AP and an attempted shoot-through or trans-scapular view. It’s not quite a lateral Y-view I’m suspecting as the radiographer couldn’t get the correct projection. There’s a transverse fracture of the metaphysis, which is angulated medially due to the pull of the pectoralis major. If he was conscious I would specifically look at the axillary nerve function.
- Type
- Chapter
- Information
- Postgraduate OrthopaedicsViva Guide for the FRCS (Tr & Orth) Examination, pp. 332 - 350Publisher: Cambridge University PressPrint publication year: 2019
References
Pahlavan, S, Baldwin, K, et al. Proximal humerus fractures in the pediatric population: a systematic review. J Child Orthop. 2011;5:187–194.Google Scholar
Mangat, KS, Martin, AG, Bache, CE. The ‘pulseless pink’ hand after supracondylar fracture in children: the predictive value of nerve palsy. J Bone Joint Surg Br. 2009;91(11):1521–1525.Google Scholar
Scannell, BP, Jackson, JB, et al. The perfused, pulseless supracondylar humeral fracture: intermediate-term follow-up of vascular status and function. J Bone Joint Surg Am. 2013;95(21):1913–1919.CrossRefGoogle ScholarPubMed
Langkamer, VG, Ackroyd, CE. Removal of forearm plates. A review of the complications. J Bone Joint Surg Br. 1990;72(4):601–604.Google Scholar
Wall, EJ, Jain, V, et al. Complications of titanium and stainless steel elastic nail fixation of pediatric femoral fractures. J Bone Joint Surg Am. 2008;90(6):1305–1313.Google Scholar