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Orthopaedician’s Section

This category contains 10 posts

Evaluation of a child with elbow injury

Pulled Elbow in Children

The article describes clinical fratures of the pulled elbow or nursemaid’s elbow and describes methods to treat it

Technique of genu valgum correction with growth modulation

E plate hemiepiphysiodesis is a modern method to correct the deformities of long bones in a growing child. It works on the principle that controlling the growth on one side of growth plate results in angulation on the oppositefinal side.

Percutaneous correction of Tibia Vara with mini ex fix

The article describes step by step approach to percutaneous correction of tivia vara

Pulled Elbow in Children

Pulled Elbow or “Nursemaids Elbow” is common in young children between 1 and 4 years of age.It is rare beyond the age of 6 years. It is due to the annular ligament of the radial head becoming stretched and entrapped.The treatment is by reduction in flexion and supination

FAQs on Ponseti treatment for clubfoot

what is new in the treatment of clubfoot Answered in frequently asked questions mode with answers from recent literature

Trigger thumb/ trigger fingers in children

Trigger thumb and fingers are common hand conditions in children. The present article provides current thought process and management guidelines for clinicians

Non Union Lateral condyle Fractures

The questions to ask The patient factors Know what the patient has come to you for 1. What are the patient’s complains ? 2. What are the parent’s expectations from the treatment? 3.How are the elbow movements and the function of the child? The surgeon factors Know what you are operating for 1.Is it that […]

Osteogenesis Imperfecta Types

Since 1979, OI has been classified by type according to a scheme developed by David Sillence,
M.D. This system is based on mode of inheritance, clinical picture, and radiologic appearance.
The OI type descriptions provide some information to the clinician and family about a person’s
prognosis, but they do not predict functional outcome. It is also important to note that the
severity of OI ranges greatly; the different types of OI represent somewhat arbitrary cutoffs
along a continuum. As a result, the severity of the disorder may vary significantly among people
who have the same type. The OI classification scheme has continued to evolve as new
information about OI is discovered.


Children’s fracture have a great capacity to remodel. Yet a few of them result into malunion and deformity. In fractures of upper humerus in a young child large magnitude of angulations can be accepted where as physeal injury of lower femur involving articular carilage needs nothing short of anatomical reduction. The factors affecting the acceptibiloity cliteria are age, Site of fracture, Involvement of growth plate and articular surface, direction of angulation in line with axis of joint movement, ability of joint nearby to compensate for the malunion etc…