UL - Supracondylar Fracture

Topic

Paeds Trauma

Podcast

Updated

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Why fracture happen at this location?

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Which direction is common and the nerves affected in Supracondylar fracture?

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Most common direction of supracondylar injury?

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Most common nerve injury? Why apparent paradox?

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What is pucker sign? Significance?

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How do you reduce the pucker sign in the OT?

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XR - What lines are you looking at?

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Classification of this injury?

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How will you reduce the supracon?

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How will you pin this supra con?

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What if you perforate the olecranon fossa?

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How do you insert medial pin if needed?

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When is a relative indication for medial wire?

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Complications you warn parents about?

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What do you do if POST op ulnar nerve palsy?

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What is the BOAST guidelines for Supracon? Key points?

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What is your starting point for the lateral pin?

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Evidence of size of pin in supracon Fracture?

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Paeds Supracondylar Fracture - Evidence for 2 lateral vs Cross pin in ?

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If well perfused but AIN palsy - is it indication for urgent surgery?

SCENARIO 1 = PULSELESS WHITE HAND

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How will you manage this?

SCENARIO 2 = PINK PULSELESS HAND

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How will you manage this?

SCENARIO 3 = POST OP PINK PULSELESS HAND

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Will you just monitor in PACU?

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How do you monitor?

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How long will you monitor for? Why that duration?

SCENARIO 4 = IMMEDIATE POST OP WHITE HAND

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How will you manage this?

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How do you explore the artery?

SCENARIO 5 = CHILD WITH CUBITUS VARUS

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How will you examine this child?

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Causes of cubitus Varus?

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If i tell you there is a lost of one ROM, what is it? Why?

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What is the classic deformity here?

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What is the Yamamoto test?

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6 year old Parent ask if it will get worse or better

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Now they have a cubitus Varus deformity, what injury are they prone to now?

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What is a future complication from this deformity?

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How does cubitus varus cause PLRI?

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How does cubitus varus cause tardy ulnar nerve palsy?

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What is the management?