Keypoints:-
• MC elbow # in Children.
• Cause - Hyperextension
• MC elbow # in Children.
• Cause - Hyperextension
Types:-
•Extension - MC
Distal fragment is tilted posteriorly.
•Extension - MC
Distal fragment is tilted posteriorly.
 |
| Garland Type 3 Fracture |
•Flexion - Distal fragment tilted anteriorly.
CF:-
• S Shaped deformity.
• 3 point bony relation maintained.
• S Shaped deformity.
 |
| S Shaped deformity |
• 3 point bony relation maintained.
T/t:- Gartland classification
• Type1 - Immobilization
• Type2 - Percutaneous pinning
• Type3 - Open reduction and internal fixation
• Type1 - Immobilization
• Type2 - Percutaneous pinning
• Type3 - Open reduction and internal fixation
Complications:-
• Early:-
▪Injury to Brachial artery (may lead to Volkmann's Ischemic Contracture).
▪ Median nerve injruy
• Late:-
▪Malunion (MC) which results in Gun Stock Deformity.
• Early:-
▪Injury to Brachial artery (may lead to Volkmann's Ischemic Contracture).
▪ Median nerve injruy
• Late:-
▪Malunion (MC) which results in Gun Stock Deformity.
T/t for Gun Stock Deformity- Lateral close wedge osteotomy.
 |
| This is High Tibial Osteotomy Similar to Lateral closed Wedge Osteotomy |
▪Myositis Ossificans and elbow stiffness
▪Volkmann's Ischemic Contracture.
 |
| Garland Type 1 fracture |
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