Episode 2: Supracondylar Fractures

https://is1-ssl.mzstatic.com/image/thumb/Podcasts114/v4/b5/86/d1/b586d1f7-a366-0af9-982b-1544ce7b495f/mza_8530517276260865339.jpg/600x600bb.jpg

Casting: the junior Ortho Pod

Ajay Shah

18 episodes

1 day ago

Casting is the Orthopaedic Surgery podcast for senior medical students and junior residents. Hosted by Ajay Shah (PGY-1, University of Toronto), featuring conversations with residents and faculty on a wide range of topics, including an evidence-based approach to common Orthopaedic Surgery injuries, medical education and innovation, and tips and tricks for survival and improvement during the trenches of a surgical residency.

Education

RSS

All content for Casting: the junior Ortho Pod is the property of Ajay Shah and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Education

https://d3t3ozftmdmh3i.cloudfront.net/production/podcast_uploaded_episode/12227454/12227454-1611535643410-fa072edf4ec87.jpg

Episode 2: Supracondylar Fractures

Casting: the junior Ortho Pod

24 minutes 52 seconds

4 years ago

Episode 2: Supracondylar Fractures

Summary: I am joined by Jeff Kay (PGY-4) to discuss paediatric supracondylar fractures. Learning objectives include (1) identify a supracondylar fracture based on radiographic signs, (2) describe the Gartland classification of supracondylar fractures, (3) summarize emergency assessment of associated neurovascular injuries, (4) discuss closed reduction maneuvers, casting position and CRPP pin configuration.

Timestamps:

1:15 - Background & Epidemiology

2:15 - Extension vs Flexion-type

2:30 - Anatomy

3:25 - Radiographic signs

6:35 - Initial Assessment

9:30 - Upper Extremity Neuro Assessment

11:00 - Gartland Classification

12:30 - Nonoperative Treatment (Casting)

14:15 - Deciding on Operative Management

15:30 - Closed Reduction Maneuvers

17:10 - Emergency Management

18:35 - CRPP Pin Configuration

19:30 - 3-Lateral vs Cross-pins (see images in Resources)

20:10 - CRPP Pin Configuration (cont - see JAAOS paper in Resources)

20:50 - Medial Pin

21:40 - Ulnar n. Protection

22:20 - Clinical Scenario

Resources:

Lateral Pins: https://www.orthopaedicsone.com/download/thumbnails/33687548/fig+9.jpg?version=1&modificationDate=1332443777000 vs Cross pins: https://www.cjhr.org/articles/2017/4/1/images/CHRISMEDJHealthRes_2017_4_1_43_196066_u9.jpg of Type 3 fractures

Management of Supracondylar Humerus Fractures (JAAOS, 2012): https://journals.lww.com/jaaos/Abstract/2012/02000/Management_of_Supracondylar_Humerus_Fractures_in.2.aspx

Gartland Classification: https://radiopaedia.org/articles/gartland-classification-of-supracondylar-humeral-fractures

OrthoBullets: https://www.orthobullets.com/pediatrics/4007/supracondylar-fracture--pediatri