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Paediatric Elbow

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Pediatric Orthopedics for Primary Healthcare

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Abstract

Elbow injuries predominate in this section, ranging from the ‘pulled elbow’ that may often be encountered and dealt with in primary care to more difficult injuries. Fractures are frequent, can be complex and may be associated with complications. Supracondylar fractures are the most common elbow fracture and receive ongoing study. Fracture combinations occur, such as involvement of the olecranon and medial epicondyle or the olecranon and the radial neck. Elbow disorders related to overuse are seen in the older child or adolescent. The idiopathic conditions of ostechondrosis, often relatively benign in its consequences, and osteochondritis dissecans, more likely to be troublesome, are encountered. Congenital elbow conditions, whilst infrequent, may not present until later in childhood.

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References

  1. Cheng JC, Wing-Man K, Shen WY, Yurianto H, Xia G, Lau JT, et al. A new look at the sequential development of elbow-ossification centers in children. J Pediatr Orthop. 1998;18(2):161–7.

    CAS  PubMed  Google Scholar 

  2. Appelboam A, Reuben AD, Benger JR, Beech F, Dutson J, Haig S, et al. Elbow extension test to rule out elbow fracture: multicentre, prospective validation and observational study of diagnostic accuracy in adults and children. BMJ. 2008 Dec;337(dec09_1):a2428+.

    Article  CAS  Google Scholar 

  3. Bexkens R, Washburn FJ, Eygendaal D, van den Bekerom MP, Oh LS. Effectiveness of reduction maneuvers in the treatment of nursemaid’s elbow: a systematic review and meta-analysis. Am J Emerg Med. 2017 Jan;35(1):159–63.

    Article  Google Scholar 

  4. Krul M, van der Wouden JC, Kruithof EJ. Van Suijlekom-smit LWW, Koes BW. Manipulative interventions for reducing pulled elbow in young children. Cochrane Database Syst Rev. 2017 Jul;7:CD007759.

    PubMed  Google Scholar 

  5. Abzug JM, Herman MJ. Management of supracondylar humerus fractures in children: current concepts. J Am Acad Orthop Surg. 2012 Feb;20(2):69–77.

    Article  Google Scholar 

  6. Skaggs DL, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am. 1999 Oct;81(10):1429–33.

    Article  CAS  Google Scholar 

  7. Ballal MS, Garg NK, Bass A, Bruce CE. Comparison between collar and cuffs and above elbow back slabs in the initial treatment of Gartland type I supracondylar humerus fractures. J Pediatr Orthop B. 2008 Mar;17(2):57–60.

    Article  Google Scholar 

  8. Oakley E, Barnett P, Babl FE. Backslab versus nonbackslab for immobilization of undisplaced supracondylar fractures: a randomized trial. Pediatr Emerg Care. 2009 Jul;25(7):452–6.

    Article  Google Scholar 

  9. Al-Aubaidi Z, Torfing T. The role of fat pad sign in diagnosing occult elbow fractures in the pediatric patient: a prospective magnetic resonance imaging study. J Pediatr Orthop B. 2012 Nov;21(6):514–9.

    Article  Google Scholar 

  10. Alton TB, Werner SE, Gee AO. Classifications in brief: the Gartland classification of supracondylar humerus fractures. Clin Orthop Relat Res. 2015 Feb;473(2):738–41.

    Article  Google Scholar 

  11. Mulpuri K, Wilkins K. The treatment of displaced supracondylar Humerus fractures: evidence-based guideline. J Pediatr Orthop. 2012 Sep;32(Suppl 2):S143–52.

    Article  Google Scholar 

  12. Davidson AW. Rock-paper-scissors. Injury. 2003 Jan;34(1):61–3.

    Article  CAS  Google Scholar 

  13. Schmale GA, Mazor S, Mercer LD, Bompadre V. Lack of benefit of physical therapy on function following supracondylar humeral fracture: a randomized controlled trial. J Bone Joint Surg Am. 2014 Jun;96(11):944–50.

    Article  Google Scholar 

  14. Spencer HT, Wong M, Fong YJ, Penman A, Silva M. Prospective longitudinal evaluation of elbow motion following pediatric supracondylar humeral fractures. J Bone Joint Surg Am. 2010 Apr;92(4):904–10.

    Article  Google Scholar 

  15. Sinikumpu JJJ, Victorzon S, Pokka T, Lindholm ELL, Peljo T, Serlo W. The long-term outcome of childhood supracondylar humeral fractures: a population-based follow up study with a minimum follow up of ten years and normal matched comparisons. Bone Joint J. 2016 Oct;98-B(10):1410–7.

    Article  Google Scholar 

  16. Josefsson PO, Johnell O, Gentz CF. Long-term sequelae of simple dislocation of the elbow. J Bone Joint Surg Am. 1984 Jul;66(6):927–30.

    Article  CAS  Google Scholar 

  17. Kurtulmuş T, Sağlam N, Saka G, Avcı CCC, Uğurlar M, Türker M. Paediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatment. Eur J Orthop Surg Traumatol: orthopédie traumatologie. 2014 Oct;24(7):1139–44.

    Article  Google Scholar 

  18. Pirker ME, Weinberg AM, Höllwarth ME, Haberlik A. Subsequent displacement of initially nondisplaced and minimally displaced fractures of the lateral humeral condyle in children. J Trauma. 2005 Jun;58(6):1202–7.

    Article  Google Scholar 

  19. Lee DHH, Han SBB, Park JHH, Park SYY, Jeong WKK, Lee SHH. Elbow arthrography in children with an ulnar fracture and occult subluxation of the radial head. Journal of Pediatric Orthopaedics Part B/European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America. 2011 Jul;20(4):257–63.

    Google Scholar 

  20. Marzo JM, d’Amato C, Strong M, Gillespie R. Usefulness and accuracy of arthrography in management of lateral humeral condyle fractures in children. J Pediatr Orthop. 1990;10(3):317–21.

    Article  CAS  Google Scholar 

  21. Bernthal NM, Hoshino MM, Dichter D, Wong M, Silva M. Recovery of elbow motion following pediatric lateral condylar fractures of the humerus. J Bone Joint Surg Am. 2011 May;93(9):871–7.

    Article  Google Scholar 

  22. Kamath AF, Baldwin K, Horneff J, Hosalkar HS. Operative versus non-operative management of pediatric medial epicondyle fractures: a systematic review. J Child Orthop. 2009 Oct;3(5):345–57.

    Article  Google Scholar 

  23. Mehlman CT, Howard AW. Medial epicondyle fractures in children: clinical decision making in the face of uncertainty. J Pediatr Orthop. 2012 Sep;32(Suppl 2):S135–42.

    Article  Google Scholar 

  24. Wilson NI, Ingram R, Rymaszewski L, Miller JH. Treatment of fractures of the medial epicondyle of the humerus. Injury. 1988 Sep;19(5):342–4.

    Article  CAS  Google Scholar 

  25. Pring ME. Pediatric radial neck fractures: when and how to fix. J Pediatr Orthop. 2012 Jun;32(Suppl 1):S14–21.

    Article  Google Scholar 

  26. Neher CG, Torch MA. New reduction technique for severely displaced pediatric radial neck fractures. J Pediatr Orthop. 2003;23(5):626–8.

    Article  Google Scholar 

  27. Augustithis GA, Huntley JS. Closed reduction of paediatric radial neck fractures. Ann R Coll Surg Engl. 2015 May;97(4):316–7.

    Article  CAS  Google Scholar 

  28. David-West KS, Wilson NI, Sherlock DA, Bennet GC. Missed Monteggia injuries. Injury. 2005 Oct;36(10):1206–9.

    Article  Google Scholar 

  29. Fernandez FF, Egenolf M, Carsten C, Holz F, Schneider S, Wentzensen A. Unstable diaphyseal fractures of both bones of the forearm in children: plate fixation versus intramedullary nailing. Injury. 2005 Oct;36(10):1210–6.

    Article  CAS  Google Scholar 

  30. Simcock X, Shah AS, Waters PM, Safety BDS. Efficacy of Derotational osteotomy for congenital radioulnar synostosis. J Pediatr Orthop. 2015 Dec;35(8):838–43.

    Article  Google Scholar 

  31. Claessen FM, Louwerens JK, Doornberg JN, van Dijk CN, Eygendaal D, van den Bekerom MP. Panner’s disease: literature review and treatment recommendations. J Child Orthop. 2015 Feb;9(1):9–17.

    Article  Google Scholar 

  32. Churchill RW, Munoz J, Ahmad CS. Osteochondritis dissecans of the elbow. Curr Rev Musculoskelet Med. 2016 Jun;9(2):232–9.

    Article  Google Scholar 

  33. Francis R, Bunch T, Chandler B. Little league elbow: a decade later. Phys Sportsmed. 1978 Apr;6(4):88–94.

    Article  CAS  Google Scholar 

  34. Adams JE. Injury to the throwing arm. A study of traumatic changes in the elbow joints of boy baseball players. Calif Med. 1965 Feb;102:127–32.

    CAS  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. GP, Kenmure Medical Practice, Glasgow, UK

    Robert Wilson

  2. Consultant, Royal Hospital for Children, Glasgow, UK

    Neil Wilson

Authors
  1. Robert Wilson
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  2. Neil Wilson
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Editor information

Editors and Affiliations

  1. Head of Trauma & Orthopaedics Surgery, Al Jalila Children’s Speciality Hospital, Dubai, United Arab Emirates

    Sattar Alshryda

  2. Associate Professor of Family Medicine, College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates

    Lisa Jackson

  3. Consultant Paediatric Endocrinologist, Department of Medical Subspecialties, Al Jalila Children’s Hospital, Dubai, United Arab Emirates

    Nandu Thalange

  4. Director of Clinical Planning and Strategic Partnerships, Al Jalila Children’s Speciality Hospital, Dubai, United Arab Emirates

    Ali AlHammadi

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Wilson, R., Wilson, N. (2021). Paediatric Elbow. In: Alshryda, S., Jackson, L., Thalange, N., AlHammadi, A. (eds) Pediatric Orthopedics for Primary Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-65214-2_19

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  • DOI: https://doi.org/10.1007/978-3-030-65214-2_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-65213-5

  • Online ISBN: 978-3-030-65214-2

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