Management of Fractures in Adolescents. Friday Registrar Presentation Dr. Stewart Morrison MBBS Western Health Orthopaedic Department. Introduction. Adolescence Puberty: acceleration phase, peak height velocity, deceleration phase Peak height velocity: Girls 12 years, Boys 14 years
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Management of Fractures in Adolescents
Friday Registrar Presentation
Dr. Stewart Morrison MBBS
Western Health Orthopaedic Department
.greater energy dissipation, less comminution, quicker healing
.Closure of Physeal Plate
.Greulich’s and Pyle’s Atlas
.Tanner-Whitehouse-III RUS Score
.Sanders modification of TWIIIRUS Score
.Secondary Sexual Characteristics
Most heal in 3 weeks.
Growth disturbance monitoring.
How to succinctly and clearly explain this algorithm to parents?
… when often they only hear the word ‘deformity’
Tibial Spine Fractures
Salter RB, Harris WR. Injuries Involving The Epiphyseal Plate. J Bone Joint Surg Am. 1963;45: 587-622.
Khan La, Bradnock Tj, Scott C, Robinson Cm. Fractures Of The Clavicle. J Bone Joint Surg Am. 2009 Feb;91(2):447-60.
Egol Ka Et Al. Management Of Fractures In Adolescents. J Bone Joint Surg. Am. 2010 Dec;92(18) 2947
Zionts Le. Fractures Around The Knee In Children. JAAOS Vol. 10 No. 5 September/October 2002
Alain Diméglio; Yann Philippe Charles; Jean-pierre Daures; Vincenzo De Rosa; Accuracy Of The Sauvegrain Method In Determining Skeletal Age During Puberty. Journal Of Bone And Joint Surgery; Aug 2005; 87, 8; Health & Medical Complete
Momberger N, Stevens P, Smith J, Santora S, Scott S, Anderson J. Intramedullary nailing of femoral fractures in adolescents. J Pediatr Orthop. 2000;20: 482-4.