Premature Epiphysial Fusion after Injury of the Capitulum.

A study of wrist injuries in children: the incidence of various injuries and of premature closure of the distal radial growth plate.

There were 362 wrist injuries in 359 patients under 18 years of age who attended the Accident & Emergency Department, St James's University Hospital, Leeds, over a 1-year period. These included soft tissue injuries (53%), epiphyseal injuries (4%) and fractures of the distal forearm or carpus (43%) which were reviewed 3 years after injury. At re-examination, a repeat X-ray was undertaken and thi...

Metacarpophalangeal joint dislocation.

Traumatic dislocation of the metacarpophalangeal joint is a relatively uncommon injury. The dislocation may be easily reducible (ie, simple) or require surgical intervention (ie, complex). The flexor tendons, lumbrical muscle, natatory ligament, and superficial transverse metacarpal ligament combine with the displaced volar plate to create a tight noose, preventing reduction. Surgical approach ...

Premature epiphysial fusion at the knee joint in tuberculous disease of the hip.

The treatment of tuberculous disease of the hip in children has not yet reached the stage when useful recovery of joint function is a frequent end-result. Brackett (1924) urged that the first objective should be the provision of a permanently safe and useful limb; and in girls, we would add, a graceful one. These standards are not achieved, even with quiescent disease and a soundly ankylosed jo...

Genu Recurvatum Following Paediatric Femoral Diaphyseal - Fracture : Salter Type V Injury Revisit

A 17-year old boy with a history of a right femoral shaft fracture, fixed with a reamed intramedullary nail four years earlier, presented with a 15° genu recurvatum deformity, presumably due to premature closure of the anterior proximal tibial physeal plate following a Salter type V injury. He was treated with a supra-tubercular anterior opening wedge osteotomy, fixed with two Puddu plates and ...

Premature Epiphysial Fusion at the Knee Complicating Prolonged Immobilisation for Congenital Dislocation of the Hip.