The Upper Hand: Chuck & Chris Talk Hand Surgery
JBJS Hand and Wrist Surgery Update, 2021, Part 2
Mar 6, 2022
Deb Bohn, a key contributor to hand surgery literature, and Kelsey Wise, co-author of significant manuscripts in the field, delve into exciting advancements in hand surgery. They discuss critical topics such as the challenges of pediatric fracture management and the long-term implications of tendon ruptures linked to volar plating. They also touch on the importance of monitoring bone health post-fracture and share engaging stories of teamwork and community spirit, underscoring the bond between healthcare professionals and their patients.
35:18
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Quick takeaways
- Pediatric fracture management necessitates careful consideration of growth plates, as improper use of K-wires can lead to serious developmental issues.
- The treatment of ulnar styloid fractures has revealed the importance of patient education about potential long-term pain and recovery expectations.
Deep dives
Pediatric Fracture Management
Management of pediatric fractures requires careful consideration of potential impacts on growth plates. In particular, using K-wires across the growth plate invites risks that can affect a child's future development if not done properly. A recent case highlighted the possible consequences of placing large K-wires across the growth plate, which led to growth plate arrest in a young patient treated at another facility. The decision to lengthen the radius using an external fixator was chosen over other options, reflecting a growing understanding of the optimal ways to approach complex scenarios in pediatric fracture management.
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