Question 1

how do you treat radial nerve injury with supracondylar fracture in children?

Accepted Answer

Radial Nerve: The presence of a wrist drop with a humeral fracture is most often due to a stretch injury or contusion of the nerve as it travels down the arm in the spiral groove.  An extension wrist splint may be helpful to prevent a flexion contracture from the associated wrist drop.  If there is an absence of improvement on exam and serial EMG testing, surgical exploration may need to be considered.

Question 2

are the symptoms of supracondylar fracture bad?

Accepted Answer

Possibly: If you are referring to a supracondylar humerus fracture, the injury can be very painful.  With a displaced fracture, there is also risk of vascular injury and nerve injury.  These fractures require urgent evaluation.

Question 3

would you recommend surgery for a supracondylar fracture of the distal humerus on a 79 year old female with adequately-controlled niddm?

Accepted Answer

Yes: A supracondylar fracture is a pretty significant and debilitating fracture if not treated.  Particularly if it is displaced or involves the joint.   While there are complications as with any surgery, if you are healthy, surgery is better than the alternative of a nonfunctioning elbow.

Question 4

what is the definition or description of: hand fractures in children?

Accepted Answer

Diagnosis is the: Most important as the location, severity, age, angulation, skeletal maturity, and other injury patterns are the most important. Typically immobilization kids leans toward more is better. Kids heal fast and often stiffness is not an issue but proper positioning and determination of when it is safe to go forward are essential. Thus childrens fractures:best treated by an experienced person. Above all

Question 5

could fractures in young children go unnoticed?

Accepted Answer

Yes: Children bones are not a rigid as adults, and are covered by a layer of periosteum which acts as a sleeve. As a result, children can have fractures that are either incomplete (greenstick #) or undisplaced (due to the sleeve of periosteum). Since there is no obvious deformity, parents may not appreciate the extent of the injury. Xrays are necessary.

Question 6

which  is the most commonly fractured bone in children?

Accepted Answer

Clavicle: It is my understanding that the clavicle is the first bone to completely ossify (finish forming) and most broken at any age.

Question 7

please describe the most commonly fractured bone in children?

Accepted Answer

Radius: In my general orthopaedic practice, the fracture i see most commonly in children is the radius near the wrist which we call the distal (far end) radius.  This is commonly considered to be a fractured wrist.

Question 8

are some children more genetically prone to broken bones than other children?

Accepted Answer

Yes: Yes, for example osteogenesis imperfecta is a condition in which children have extremely fragile bones, leading to multiple fractures.  If you are concerned about such a  possibility, see a physician for further evaluation.

Question 9

do tiny fracture in children cause physeal injuries or only serious fracture do?

Accepted Answer

Physis: The physis implies the growth plate. There are 5 different fractures that can involve the growth plate. Some are more serious than others and they often require different treatments. There are fractures that do not involve the growth plate also. A fracture that is not displaced is good. If you let us know the type of fracture, we can help with your question. All the best.

Question 10

hand fractures in children should be treated how?

Accepted Answer

Mostly cast: It depends on which bone is broken and if there is any displacement or shift of the fracture or angular ion at the fracture site. Casting is the most common method of fracture treatment, but splint or brace might also be used. Buddy taping to the adjacent finger is also possible for partially healed minor finger fractures.

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Doctor answers about:

Supracondylar fracture in children

A member asked:

How do you treat radial nerve injury with supracondylar fracture in children?

A member asked:

Are the symptoms of supracondylar fracture bad?

A member asked:

Would you recommend surgery for a supracondylar fracture of the distal humerus on a 79 year old female with adequately-controlled niddm?

A member asked:

What is the definition or description of: hand fractures in children?

A member asked:

Could fractures in young children go unnoticed?

A member asked:

Which is the most commonly fractured bone in children?

A member asked:

Please describe the most commonly fractured bone in children?

A member asked:

Are some children more genetically prone to broken bones than other children?

A member asked:

Do tiny fracture in children cause physeal injuries or only serious fracture do?

A member asked:

Hand fractures in children should be treated how?

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