Download PDF by P. Bedeschi (auth.), Luigi Celli M.D. (eds.): The Elbow: Traumatic Lesions

By P. Bedeschi (auth.), Luigi Celli M.D. (eds.)

The second one quantity of Current strategies in Orthopaedic Surgeryanalyzes a number of the features of nerve-racking lesions of the elbow, together with ailments of the delicate tissues and the infrequent lesions of the musculocutaneous nerve. the focal point of attention, in spite of the fact that, is on fractures, and the fast and lengthy term result of therapy. a few points of demanding lesionsof the elbow call for specific attention as a result of long time period residual results, the complexity of therapy, andthe curiosity that contemporary therapeutical development has stimulated. each one bankruptcy provides a good account of the authors' own event and encompasses a severe evaluation of the implications.

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Clin. Orthop. 1977; 124, 189-204. E. Jacchia - M. D'Arienzo - M. Innocenti - L. Ciampalini Elbow fractures and joint injuries in children are reported in order of frequency (Table 1) according to the Gui classification. Table I 1) 2) 3) 4) 5) 6) Supracondylar fracture Lateral condylar fracture Medial cpicondylar fracture Trochlear fracture Lateral epicondylar fracture Complete cpiphyseal fracture FRACTURES Fractures not involving the epiphyseal growth plates can be supracondylar, radial neck, or olecranon fractures, the first being by far the most common.

17) and degenerative lesions that cause valgus deformity in the elbow as well as the formation of bone spurs in the groove. Both articular synovial diseases, especially in rheumatoid arthritis, and local disease with reactive bursitis can occupy the epitrochlear-olecranal space and cause nerve compression. Yet currently the structure most likely to cause compression of the ulnar nerve in overwork syndromes of the internal compartment is considered to be (1, 67, 68) the arcade of the flexor carpi ulnaris.

A B Fig. 2. - A) Lateral x-ray of anormal child's clbow shows a radiotransparent spacc bctwccn thc capitulum and thc olecranon. B) Thc image of thc capitulum overlaps that of thc olecranon, which is a sign of "cclipsc" and indicatcs internal rotation of the distal fragment. FRACTURES AND JOINT INJURIES IN CHILDREN The patients were between 1 and 5 years old, 68% male and 32% female; 64% had fractures in the right elbow and 36% in the left. Three hundred and sixty-four of these were treated with traction for an average of 5 days, followed by reduction under general anesthesia and immobilization in a shoulder spica for an average of 5 weeks (range 4-7 weeks) (Fig.

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