Casting: the junior Ortho Pod
Casting: the junior Ortho Pod
Ajay Shah
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Episode 2: Supracondylar Fractures
24 minutes Posted Jan 25, 2021 at 12:47 am.
Background & Epidemiology
Extension vs Flexion-type
Anatomy
Radiographic signs
Initial Assessment
Upper Extremity Neuro Assessment
Gartland Classification
Nonoperative Treatment (Casting)
Deciding on Operative Management
Closed Reduction Maneuvers
Emergency Management
CRPP Pin Configuration
3-Lateral vs Cross-pins (see images in Resources)
CRPP Pin Configuration (cont - see JAAOS paper in Resources)
Medial Pin 
Ulnar n. Protection
Clinical Scenario
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24:52
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Show notes
Summary: I am joined by Jeff Kay (PGY-4) to discuss paediatric supracondylar fractures. Learning objectives include (1) identify a supracondylar fracture based on radiographic signs, (2) describe the Gartland classification of supracondylar fractures, (3) summarize emergency assessment of associated neurovascular injuries, (4) discuss closed reduction maneuvers, casting position and CRPP pin configuration.
Timestamps:
Resources:
Lateral Pins: https://www.orthopaedicsone.com/download/thumbnails/33687548/fig+9.jpg?version=1&modificationDate=1332443777000 vs Cross pins: https://www.cjhr.org/articles/2017/4/1/images/CHRISMEDJHealthRes_2017_4_1_43_196066_u9.jpg of Type 3 fractures 
Management of Supracondylar Humerus Fractures (JAAOS, 2012): https://journals.lww.com/jaaos/Abstract/2012/02000/Management_of_Supracondylar_Humerus_Fractures_in.2.aspx
Gartland Classification: https://radiopaedia.org/articles/gartland-classification-of-supracondylar-humeral-fractures
OrthoBullets: https://www.orthobullets.com/pediatrics/4007/supracondylar-fracture--pediatri
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