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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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.
… when often they only hear the word ‘deformity’
Tibial Spine Fractures
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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.