[ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation


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[ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation

gohortho at yahoo
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Feb 4, 2008, 5:24 PM

Post #1 of 8 (4587 views)
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[ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation	Can't Post

Dear members

Just a straw poll of opinion

Would you accept non-operative management (no further manipulation) of a distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt in a 6 years old?

How about 13 years old?

What if the fracture is complete?

Appreciate your input

Shyan Goh
Newcastle
Australia

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nazarudheen at yahoo
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Feb 4, 2008, 6:19 PM

Post #2 of 8 (4587 views)
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Re: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

dear goh,

i will accept it in 13 years old also.

nazarudheen

S Goh <gohortho@yahoo.com.au> wrote:
Dear members

Just a straw poll of opinion

Would you accept non-operative management (no further manipulation) of a distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt in a 6 years old?

How about 13 years old?

What if the fracture is complete?

Appreciate your input

Shyan Goh
Newcastle
Australia

Get the name you always wanted with the new y7mail email address.
www.yahoo7.com.au/y7mail

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scottnelson at mail
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Feb 4, 2008, 6:24 PM

Post #3 of 8 (4587 views)
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RE: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

Yes in both age groups 10 degrees would be acceptable. In greater degrees
of angulation gender and maturity need to be considered as well.

The following is a useful reference for these types of parameters. It
summarizes and references the consensus of major textbooks and studies
regarding acceptable limits of angulation etc in orthopaedics.

http://www.amazon.com/Tolerances-Orthopaedic-Reference-Scott-Nelson/dp/15941
00098/ref=sr_1_1?ie=UTF8
<http://www.amazon.com/Tolerances-Orthopaedic-Reference-Scott-Nelson/dp/1594
100098/ref=sr_1_1?ie=UTF8&s=books&qid=1202177982&sr=1-1>
&s=books&qid=1202177982&sr=1-1

Scott Nelson MD

Assistant Clinical Prof Loma Linda University

Medical Director, CURE International

Santo Domingo, Dominican Republic

-----Original Message-----
From: ORT-L-owner@www2.aaos.org [mailto:ORT-L-owner@www2.aaos.org] On Behalf
Of S Goh
Sent: Monday, February 04, 2008 9:26 PM
To: ORT-L@www2.aaos.org
Subject: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal
Paediatric Wrist Angulation

Dear members

Just a straw poll of opinion

Would you accept non-operative management (no further manipulation) of a
distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt
in a 6 years old?

How about 13 years old?

What if the fracture is complete?

Appreciate your input

Shyan Goh

Newcastle

Australia

Get the name you always wanted with the new y7mail email address.

www.yahoo7.com.au/y7mail

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bonedocrob at bresnan
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Feb 4, 2008, 7:41 PM

Post #4 of 8 (4587 views)
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RE: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

MotherNature fixes just about everything (if less than 13 yr old)

Rob Schultz

-----Original Message-----
From: ORT-L-owner@www2.aaos.org [mailto:ORT-L-owner@www2.aaos.org] On Behalf
Of S Goh
Sent: Monday, February 04, 2008 6:26 PM
To: ORT-L@www2.aaos.org
Subject: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal
Paediatric Wrist Angulation

Dear members

Just a straw poll of opinion

Would you accept non-operative management (no further manipulation) of a
distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt
in a 6 years old?

How about 13 years old?

What if the fracture is complete?

Appreciate your input

Shyan Goh
Newcastle
Australia

Get the name you always wanted with the new y7mail email address.
www.yahoo7.com.au/y7mail

---
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reidboycemd at yahoo
New User

Feb 5, 2008, 3:11 AM

Post #5 of 8 (4585 views)
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RE: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

Just thinking about the throckmorton sign. Just kidding, I saw your old email while "cleaning up a bit." How is life back in the south. NYC is pretty good. I am following a tumor surgeon around which has been quite an experience. Sent Ponseti an email, looks like I am going to visit him. (better get there soon!)
Hope you and your family are well.
Reid

Scott Nelson <scottnelson@mail.com> wrote:
st1\:*{behavior:url(#default#ieooui) } Yes in both age groups 10 degrees would be acceptable. In greater degrees of angulation gender and maturity need to be considered as well.

The following is a useful reference for these types of parameters. It summarizes and references the consensus of major textbooks and studies regarding acceptable limits of angulation etc in orthopaedics.

http://www.amazon.com/Tolerances-Orthopaedic-Reference-Scott-Nelson/dp/1594100098/ref=sr_1_1?ie=UTF8&s=books&qid=1202177982&sr=1-1

Scott Nelson MD
Assistant Clinical Prof Loma Linda University
Medical Director, CURE International
Santo Domingo, Dominican Republic

-----Original Message-----
From: ORT-L-owner@www2.aaos.org [mailto:ORT-L-owner@www2.aaos.org] On Behalf Of S Goh
Sent: Monday, February 04, 2008 9:26 PM
To: ORT-L@www2.aaos.org
Subject: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation

Dear members

Just a straw poll of opinion

Would you accept non-operative management (no further manipulation) of a distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt in a 6 years old?

How about 13 years old?

What if the fracture is complete?

Appreciate your input

Shyan Goh
Newcastle
Australia

Get the name you always wanted with the new y7mail email address.
www.yahoo7.com.au/y7mail

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bsangeor at u
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Feb 5, 2008, 8:08 AM

Post #6 of 8 (4585 views)
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Re: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

yes
yes
yes
----- Original Message -----
From: "S Goh" <gohortho@yahoo.com.au>
To: <ORT-L@www2.aaos.org>
Sent: Monday, February 04, 2008 5:25 PM
Subject: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal
Paediatric Wrist Angulation

Dear members

Just a straw poll of opinion

Would you accept non-operative management (no further manipulation) of a
distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt
in a 6 years old?

How about 13 years old?

What if the fracture is complete?

Appreciate your input

Shyan Goh
Newcastle
Australia

Get the name you always wanted with the new y7mail email address.
www.yahoo7.com.au/y7mail

---
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jjbrooksmd at gmail
New User

Feb 5, 2008, 10:49 AM

Post #7 of 8 (4585 views)
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Re: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

cool, I like straw polls.

1) absolutely in a 6 y.o., apex dorsal or volar angulation no
difference in whether I'd accept
(immobilization in neutral, pron, sup is debated)

2) with hesitation, if a boy maybe, girl no
(differences on when skeletal maturity occurs therefore
ending remodeling ability)

3) no difference complete or greenstick/torus, as long as not too
short or excess varus/valgus instability/DRUJ incongruence if complete

Jeff Brooks
Stamford, CT

On Feb 4, 2008 8:25 PM, S Goh <gohortho@yahoo.com.au> wrote:
> Dear members
>
> Just a straw poll of opinion
>
> Would you accept non-operative management (no further manipulation) of a distal radius greenstick fracture (metaphyseal) of say 10 degrees VOLAR tilt in a 6 years old?
>
> How about 13 years old?
>
> What if the fracture is complete?
>
> Appreciate your input
>
> Shyan Goh
> Newcastle
> Australia
>
>
>
>
> Get the name you always wanted with the new y7mail email address.
> www.yahoo7.com.au/y7mail
>
>
> ---
> [This E-mail scanned for viruses by Declude Virus]
>
>

--
Jeffrey J. Brooks, MD
Orthopaedic Surgery & Sports Medicine Center
1290 Summer Street, #4400
Stamford, CT 06905
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gohortho at yahoo
New User

Feb 6, 2008, 12:17 AM

Post #8 of 8 (4578 views)
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RE: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation [In reply to]	Can't Post

Actually I do have that book ( I love bite-sized books, pity I can't get in electronic format)

I believe 15 degree quoted for the older age group in your book.

I worked with (or for) some with an absolute distaste for any volar tilt. Sure, it may take a bit longer to remodel but I cannot believe that 15 degrees can result in clinical deformity....

Maybe one can make a claim that cast for minor volar tilt complete fracture is harder to mould but a greenstick is as stable as they come.

Just thought I'd check in case I am out of touch.....

Thanx

Shyan Goh
australia

--- On Tue, 5/2/08, Scott Nelson <scottnelson@mail.com> wrote:

> From: Scott Nelson <scottnelson@mail.com>
> Subject: RE: [ORT-L] A Minor Matter Of Opinion: Acceptability of Distal Paediatric Wrist Angulation
> To: ORT-L@www2.aaos.org
> Received: Tuesday, 5 February, 2008, 1:24 PM
> Yes in both age groups 10 degrees would be acceptable. In
> greater degrees
> of angulation gender and maturity need to be considered as
> well.
>
>
>
> The following is a useful reference for these types of
> parameters. It
> summarizes and references the consensus of major textbooks
> and studies
> regarding acceptable limits of angulation etc in
> orthopaedics.
>
>
>
> http://www.amazon.com/Tolerances-Orthopaedic-Reference-Scott-Nelson/dp/15941
> 00098/ref=sr_1_1?ie=UTF8
> <http://www.amazon.com/Tolerances-Orthopaedic-Reference-Scott-Nelson/dp/1594
> 100098/ref=sr_1_1?ie=UTF8&s=books&qid=1202177982&sr=1-1>
> &s=books&qid=1202177982&sr=1-1
>
>
>
> Scott Nelson MD
>
> Assistant Clinical Prof Loma Linda University
>
> Medical Director, CURE International
>
> Santo Domingo, Dominican Republic
>
>
>
>
>
> -----Original Message-----
> From: ORT-L-owner@www2.aaos.org
> [mailto:ORT-L-owner@www2.aaos.org] On Behalf
> Of S Goh
> Sent: Monday, February 04, 2008 9:26 PM
> To: ORT-L@www2.aaos.org
> Subject: [ORT-L] A Minor Matter Of Opinion: Acceptability
> of Distal
> Paediatric Wrist Angulation
>
>
>
> Dear members
>
>
>
> Just a straw poll of opinion
>
>
>
> Would you accept non-operative management (no further
> manipulation) of a
> distal radius greenstick fracture (metaphyseal) of say 10
> degrees VOLAR tilt
> in a 6 years old?
>
>
>
> How about 13 years old?
>
>
>
> What if the fracture is complete?
>
>
>
> Appreciate your input
>
>
>
> Shyan Goh
>
> Newcastle
>
> Australia
>
>
>
>
>
>
>
>
>
> Get the name you always wanted with the new y7mail
> email address.
>
> www.yahoo7.com.au/y7mail
>
>
>
>
>
> ---
>
> [This E-mail scanned for viruses by Declude Virus]

Get the name you always wanted with the new y7mail email address.
www.yahoo7.com.au/y7mail

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