Children`s Orthopaedics

General guideline according to age

< 6 months

Palvik harness
Angulation & overlapping will remodel and overgrowth
Rotation will not self correct

< 5 years

Immediate hip spica cast in 90 degrees knee and hip flexion

5 - 10 years

Skin traction followed by hip spica cast

10 - 15 years

Screw & plate or elastic titanium nail

> 15 years

Intramedullary nail ( ILN or K nail )

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Distal humeral physeal separation
In newborn & young children ( around 2-4 years old )
Less common > 6 year old
Need to rule out child abuse in newborn

Clinical
Grossly swollen elbow

Radiology
Distal fragment is posteromedially displaced
Radiocapitullar relationship is maintained

Treatment
Closed reduction and pinning
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