K wire

Definition

Fracture of the radial shaft with disruption to the distal radio-ulna joint (DRUJ)

Definition

Rockerbottom foot / Persian Slipper Foot

Epidemiology

Uncommon

50% bilateral

Doesn't delay walking

- may present in toddler with callus under talus head

Associations

Congenital anomalies

- CNS disorders

- spina bifida & diastematomyelia ~10%

- arthrogryposis

- neurofibromatosis 

Incidence

Metaphyseal > physeal / SH2

Aetiology

FOOSH

Operative Management

Indications

Visible deformity

> 20^o angulation

Options

MUA

Mechanism

FOOSH

- valgus injury

- don't get radial head fracture as is mostly cartilaginous

Types

SH 1 or 2

Associated Injuries

MCL injury

Olecranon / Medial epicondyle fracture

Definition

Scaphoid non union advanced collapse

Diagnosis

Xray / CT

- non union of scaphoid

- radio-scaphoid OA

Operative Options

Types

Dorsal

- most common

Volar

Causes

1.  Acute traumatic peripheral tear TFCC with DRUJ dislocation

- usually major trauma

- dorsal or volar

2A.  Distal radial fracture