Upper Limb Trauma

Fall on outstretched hand is very common in children. However bones of children are like a wet stick. They bend but don’t break. Hence minor fractures and bone injuries go unnoticed in children. Children’s bones can fracture either through the diaphysis or through the growing part of the bone. Injury through the growing part of the bone can lead to growth arrest if not treated properly. Also followup till maturity is required to diagnose growth arrest. With the advent of newer techniques, children’s bones can be fixed with minimally invasive techniques using simple ‘K’ wires and nails. Children's bones have a great deal of remodelling potential and hence malunions get corrected over a period of time.

New born humerus fracture
Fracture showing callus
Humerus fracture after remodelling
Supracondylar fracture humerus
Supra condylar fracture humerus after k wire fixation
Distal end radius and ulna fracture
Fracture treated with k wires
Mid shaft radius and ulna fracture
Fracture treated with Titanium elastic intramedullary nail