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Dr. Ebraheim’s educational animated video describes the fracture complications in children. Certain fractures have specific complications in children. •Supracondylar Fracture: oVolkmann’s Ischemic Contracture occurs due to interruption of the blood supply of due to compartment syndrome. oCubitus varus deformity occurs due to a malunion of the fracture. •Lateral Condylar Fracture: oNonunion – cubitus valgus and ulnar nerve symptoms. It takes years to develop ulnar nerve symptoms. •Radial Head/Neck Fractures oRadial neck fractures in children may be associated with compartment syndrome •Disphyseal radius/ulna fractures •Fracture of the distal ulna growth plate oFracture involves the growth plate of the ulna oThere will be growth arrest in about 50% of the cases •Fracture of the femoral neck oWill cause osteonecrosis! •Fracture of the femur: Diaphyseal femur oFracture of the femur in children older than 5 years of age will have over growth oFracture that is treated with external fixation can develop a refracture •Fracture of the femur: Distal femur oDistal femur growth plate injury will cause growth arrest in about 60% of the cases. oPhyseal injury can lead to physeal bar and growth arrest oIf the physeal bar is located in the peripheral area, there will be an angular deformity oIf the physeal bar is located in the central area, there will be shortening. •Proximal tibial epiphyseal injury oProximal tibial epiphyseal injury will cause a vascular injury •Proximal tibial metaphyseal injury oProximal tibial metaphyseal injury will cause progressive valgus deformity. •Tibial tubercle injury oType III – fracture extends to the primary ossification center oInjury may cause compartment syndrome •Medial malleolus fracture of the ankle oSalter-Harris Type IV: fracture through all three elements of the bone, the physis, metaphysis and epiphysis. Has a high rate of growth disturbance •Distal tibia physeal injury oInjury may cause rotational deformity with an increase in external rotation of the foot Become a friend on facebook: / drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundati...