Paediatric Orthopaedics

Reference Corner [PDF]


Paediatric orthopaedics conditions like flat feet, scoliosis, congenitial hand and feet differences deserve early attention to prevent development of significant deformities.

Common Children Injury
Injuries are common among children. Usually, fracture happens more often than joint dislocation. It is because the ligament and periosteum of children are stronger than bones. Moreover, the adaptable epiphysis allows children to have greater recovering ability. It is interesting to note that even if a broken bone is not totally put back in place in children, the injury can still fully recover and the bone can become straight again. The great remodeling ability of growth tissue allows this to happen.

Children of different age have different the types of injury.

Clavicular fractures and brachial plexus injury may happen in larger babies during difficult labour. The conditions are related to the difficult birth process. Brachial plexus injury is a serious injury. The recovery time could be long and there may even be a need for surgery.

2 – 3 years old
Radial head subluxation, known as pulled elbow, is a common injury among children of this age group. Another common injury of this age group is the fracture of the distal humerus. It would be difficult to visualize the fracture. CT scan and MRI may be necessary under this circumstance.

3 – 8 years old
Common injuries in this age group include distal humerus fracture, distal radius fracture and fracture of shaft of radius and ulna.

Other than the common fractures, dislocations are also common in this age group. Common dislocations include patellar dislocation, elbow dislocation and shoulder dislocation.

Fracture of the Scaphoid bone in the wrist is also common among teenagers. It occurs when one falls on an outstretched hand. It should be treated as soon as possible. Most doctors nowadays perform minimally invasive surgery for this condition. The fracture is fixed with a percutaneous screw and no plaster is required after surgery. Some patients may avoid seeking help since the pain is mild. However, the injury may eventually lead to great discomfort after one or a few years. Nonunion of fracture may occur. A more complicated treatment will be required by then.

Burns, especially scalding from hot water or soup, are some of the most common childhood accidents. Babies and young children are especially at risk. If being treated in time, most injuries can heal up well.