Brace splints monteggia fracture11/11/2023 ![]() Oftentimes the subtalar joint, which is the articulation between the talus and the calcaneus, is included when discussing the ankle joint however, this is, technically, not a part of the ankle but, rather, the hindfoot. This is an important anatomical distinction as this is the true “ankle” joint. The distal tibia articulates with the distal fibula to form the distal tibiofibular articulation and the talus, forming the tibiotalar joint. The ankle joint is made up of the distal tibia, the distal fibula, and the talus. At CHOP, we offer a wealth of resources about how to prepare your child for surgery and what to expect during surgery.The ankle's anatomy can be broken down into osteology, musculature, and neurovascular structures. Though surgery for forearm fractures is highly effective, we understand that any surgery can be a stressful experience for children and families. Your child’s doctor will discuss the best way to immobilize your child’s forearm as it heals. To stabilize the fracture and keep the bones in the correct position as they heal, the surgeon may use a cast, metal pins, plate and screws, an external fixator or a combination of techniques. A surgeon will make an incision to access the bones in the forearm and move them into better alignment. If your child’s forearm fracture is severe, has broken the skin, affected growth plates or cannot be repositioned externally, surgery will be necessary.Ī pediatric anesthesiologist will give your child anesthesia to keep them from feeling pain and sensation during surgery. Depending on the complexity of the fracture and how much the area swells after the bone is repositioned, a splint may be used for a few days to allow the swelling to recede before a cast is applied. Once complete, a splint or cast will be applied to keep the bone in place as it heals. Clinicians will give your child a local anesthesia to numb the area, and gently push the forearm fragments into alignment. In this procedure, the bone is straightened without having to open the skin. If your child’s forearm fracture is not too severe and the bone is positioned correctly, the broken forearm will likely be placed in a cast until the bone heals.įor children with a simple, displaced fracture - where the bone is not lined up properly - a procedure called a “closed reduction” may be needed to reposition the bone. Treatment for your child’s forearm fracture will depend on the type of fracture, as well as the age and development of your child. If your child sustains a forearm fracture that causes severe pain, breaks the skin, or damages growth plates, treatment should be sought immediately. ![]() Torus fracture: Commonly called a buckle fracture, this break compresses the top layer of bone and disrupts the growth plate in the forearm.In most cases, there is a break in the ulna, and the radius is dislocated at the wrist. Monteggia fracture: Both bones of the forearm are affected and this injury requires immediate care.Metaphyseal fracture: One or both forearm bones may be affected, but the fracture does not affect the growth plate.Injury to the growth plate can affect the future growth of your child’s bone. ![]() While either forearm bone may be affected, in most cases the fracture occurs in the radius, near the wrist.
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