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    Go to the top of the page   ID: 20020317213205 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture
    M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020317213205


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    M. Milzsch (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Arm-Bones  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    6 year-old girl, after falling from her bicycle. Swelling, pain in the elbow-joint, functio laesia, no vasculature dysfunctions, no somatic or motor nerve deficiencies.

    Surgery, Kirschner-Wire Fixation in an anatomically, axially correct position without rotational mistake. After 3 years, however, angular malalignment -19° - regarding the flexion axis in the elbow joint, causing varus malposition, slight rotational deficiency.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Due to the mechanism of trauma, the physeal space in the sense of a physeal space-crash trauma changes. Result can be a premature closure of the space. Particularly, the partial epiphyseal closure can lead to deviations in the axis. A secondary treatment possibility is the correction osteotomy after growth has ceased. A primary treatment after such a trauma is not possible.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-ray 1: Emergency image: Supracondylar humeral fracture with dislocation of the condylar plate radially and dorsally.




    X-Ray 2 <- view X-Ray 2

    X-ray 2: after strategic fixation through 2 Kirschner wires: correct axis position, no rotation mistake. This image is a follow up 2 months after trauma.




    X-Ray 3 <- view X-Ray 3

    X-ray 3: 3 years after trauma: premature closure of the physeal gap at the ulnar condylus, thereby causing an axis deviation of -19°.



     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Early arthrosis and functional diminishing are expected.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Swelling, pain, elbow joint, elbow, premature closure, epiphysis, epiphyseal gap, premature closure of the Epiphysis, distal Humerus epiphysis, transcondylar humerus fracture, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020317213205  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Arm-Bones
    or in the region: Arm
    or in the tissue/organ: Bones
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture
    M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020317213205


     

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    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture
    Other cases by these authors:

    Search M. Milzsch in Medline M. Milzsch (2)   

    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture  
     
    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture
    M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020317213205


     
     
    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture
    M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020317213205


     

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    Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture
    M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020317213205


     




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