By Walter Putnam Blount
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Additional info for Fractures in Children
Nced or do not subside with conservative measures, no time should be lost before exploring the cubital fossa and volar aspect of the forearm. The tough fascia enclosing the flexor muscles of the forearm is slit permitting the explosive extrusion of edematous muscles and hematoma (22). An injured or markedly constricted brachial artery should be resected. This relieves vasospasm of the collateral ar~ terioles and the reflex involvement of the intimate vasculature of the muscles (23). Delay is disastrous.
Note the I»)"ecocious llla,tUl'ity of the radi:il hClld. 1 CILlLDRgN FIG. 63. K. , antcrol>ostcrior roentgenogram of both elbows fifteen yenl's following reduction. ppcnred. The decreased carrying angle hus persisted. 1 FIG. 04. K. L. Phowgraph fiftccn yc~~rs follow· ing open reduction shol\'s persistent loss or the carrying angle. 'Elbow motions arc 1l01'Ilml. • IXJUIUES ABOUT TIlE ELBOW 51 • FIO. Go. J. S" male, age lOH, 1/17/50. lf months following a fracture of the left lateral cOI1()ylo when the patient fell from :\ \\"[\gon.
B. l cond)'\ar frngmont has been c1e:med of blood clots :Iud pulled back into rJOSilion with Slll:lll hone hooks. The fmcturod surbee, A-B, h:!.! its nonn:ll position. The frngmcnt is fixed with two s1il311 pins which lire 3110wed to protrnde slightly under the skin. The aponeurosis of the extensor musclcs is sutured. ') 11\ CIlTLDBEN J'IG. J. , 7/1/33. Immediate closed reduction with f:lir position which was well maintained in the subsequent. rocntgcllogmms. L The dist:!! grncnt of slIch a fracture frequently displaces within the first two or three days after reduction.