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midshaft forearm fractures in children

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https://www.readbyqxmd.com/read/27876583/treatment-ofpediatric-forearm-midshaft-fractures-is-there-a-difference-between-types-of-orthopedic-surgeon
#1
Di Lu, Zhou Lin, Jing-Dong Zhang, Hua Chen, Liao-Jun Sun
PURPOSE OF THE STUDY: The objective of this study was tocompare the clinical and radiological outcomes of pediatric forearmmidshaft fractures treated operatively with titanium elastic nails (TENs) bypediatric orthopedists and non-pediatric orthopedists. MATERIAL AND METHODS: We conducted a prospective cohort study of 88 childrenofforearmmidshaft fractures, who were randomized to operative stabilization eitherby pediatric orthopedists (Group A, 44 cases) or by non-pediatric orthopedists (Group B, 44 cases) from April 2013 to February 2014...
November 19, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27299060/unilateral-multifocal-fracture-of-radial-with-ipsilateral-midshaft-ulna-fracture-two-such-unusual-and-rarely-reported-cases
#2
Harsh Raval, J B Panse, Prakash Amin, Jyotindra Pandit
INTRODUCTION: Diaphyseal fractures of both bones of the forearm are commonly encountered in clinical practice. Segmental radius shaft fractures are, however, less commonly seen. We hereby report two cases of segmental complex radius fracture with mid-shaft ulna fracture. Such type of cases are reported previously in children but rarely in adults. CASE REPORT: In case-1, comminuted radius shaft fracture was fixed with square nails and ulna was fixed with Recon plate...
July 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/24693519/treatment-of-open-pediatric-tibial-fractures-by-external-fixation-versus-flexible-intramedullary-nailing-a-comparative-study
#3
Hossein Aslani, Ali Tabrizi, Ali Sadighi, Ahmad Reza Mirblok
BACKGROUND: Tibial fractures are the third most common pediatric long-bone fracture after forearm and femoral fractures. Approximately 50% of pediatric tibial fractures occur in the distal third of the tibia. This is followed by midshaft tibial fractures (39%), and least commonly, the proximal third of the tibia is involved. Tibial fractures in the skeletally immature patient can usually be treated without surgery but tibial fractures resulting from high energy traumas are of special importance considering type of the selected treatment method affecting the children future...
December 2013: Archives of Trauma Research
https://www.readbyqxmd.com/read/24068378/refractures-of-the-paediatric-forearm-with-the-intramedullary-nail-in-situ
#4
Pim W van Egmond, Hans A van der Sluijs, Barend J van Royen, Rachid Saouti
Forearm fractures in children are common. When conservative treatment fails, internal fixation with Elastic Stable Intramedullary Nailing (ESIN) become the first choice in the operative treatment of diaphyseal forearm shaft fractures. Refractures with the intramedullary nail in situ are known to occur but formal guidelines to guide management in such fractures are lacking. We present a well-documented case of a radius midshaft refracture in a 12-year-old boy with the intramedullary nail in situ, managed by closed reduction...
September 24, 2013: BMJ Case Reports
https://www.readbyqxmd.com/read/21589680/repeated-floating-elbow-injury-after-high-energy-trauma
#5
Olimpio Galasso, Massimo Mariconda, Giorgio Gasparini
UNLABELLED: The floating elbow is an uncommon injury occurring both in children and in adults. Two reports of rare variants of floating elbow injury have been published, but to the best of our knowledge, no recurrence of this injury has been described. We present a complex pattern of floating injury, occurring in the same limb 3 years after a floating elbow lesion, which included supracondylar fracture of the humerus and associated ipsilateral midshaft fracture of forearm bones. Satisfactory outcomes were finally obtained...
April 2011: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/21455473/failures-and-complications-in-intramedullary-nailing-of-children-s-forearm-fractures
#6
F F Fernandez, M Langendörfer, T Wirth, O Eberhardt
PURPOSE: There are published studies of outcomes in the use of ESIN that raise concerns about serious complications: the aim of this study is to report our experiences over 17 years of use of this technique, which shows that complications and failures are insignificant when the method is applied correctly. METHOD: We present a retrospective analysis of 553 children with forearm shaft fractures treated with elastic stable intramedullary nailing over a period of 17 years...
April 2010: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/20955667/delayed-distal-radio-ulnar-joint-instability-after-galeazzi-type-fracture-fixation-in-a-child
#7
P Jettoo, Gp de Kiewiet
We report a rare case of delayed distal radio-ulnar joint instability with malunion of a Galeazzi-type radius fracture in a 10- year-old boy. He underwent operative intervention with flexible intramedullary nailing of the radius. He had careful clinical and intra-operative evaluation under image intensifier, and regular clinical and radiological assessments subsequently in clinic, and his distal radio-ulnar joint (DRUJ) was stable. He nonetheless developed DRUJ instability with malunion of radial midshaft fracture at 4 months...
October 15, 2010: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/19701786/an-age-and-sex-matched-comparative-study-on-both-bone-diaphyseal-paediatric-forearm-fracture
#8
Kar Hao Teoh, Yu-Han Chee, Nicholas Shortt, Graham Wilkinson, Daniel E Porter
PURPOSE: Intramedullary (IM) nailing and plating are recognised fixation methods for both-bone midshaft forearm fractures. Although both methods are effective, IM nailing has recently been the accepted operative treatment for the paediatric population. The aim of the study was to compare the differences in the radiographic and functional outcomes of an age- and sex-matched cohort of children following treatment by IM fixation or plate fixation with screws for an unstable both-bone diaphyseal fracture...
October 2009: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/18520274/comparison-of-intramedullary-nailing-to-plating-for-both-bone-forearm-fractures-in-older-children
#9
COMPARATIVE STUDY
Keith R Reinhardt, David S Feldman, Daniel W Green, Debra A Sala, Roger F Widmann, David M Scher
BACKGROUND: When operative stabilization of forearm fractures in older children is necessary, the optimal method of fixation is controversial. This study compared the radiographic and functional outcomes of intramedullary nailing to plating of forearm fractures in children between 10 and 16 years of age. METHODS: Thirty-one patients who underwent operative fixation of midshaft radius and ulna fractures were divided into nailing and plating groups and were compared retrospectively according to perioperative data and patient outcome measures (fracture union at 3 and 6 months, loss of forearm rotation, restoration of radial bow magnitude and location, and complication rates)...
June 2008: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/17585264/open-gustilo-1-and-2-midshaft-fractures-of-the-radius-and-ulna-in-children-is-there-a-role-for-cast-immobilization-after-wound-debridement
#10
COMPARATIVE STUDY
Yi-Jia Lim, Khee Sien Lam, Eng Hin Lee
INTRODUCTION: Open fractures of the forearm in children are one of the indications for open reduction and internal fixation. Fixation allows for soft tissue management and maintenance of reduction. This study compares the outcome of open Gustilo 1 and 2 midshaft forearm fractures treated with cast immobilization versus the outcome of those treated with internal fixation after wound debridement. METHODS: This is a retrospective study of the cases of 31 children treated in Kandang Kerbau Women's and Children's Hospital from 1998 to 2005...
July 2007: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/14569764/early-remodeling-in-children-s-forearm-fractures
#11
I H Qairul, B A Kareem, A B Tan, S Harwant
The forearm fracture is a fracture of the upper limb between the elbow and the wrist. It is a common injury in children, accounting for more than half of all children's fractures, and mostly occur when a child falls on the outstretched arm. A difficult clinical problem that often arises is how much angulation can be accepted in the child and how much remodeling will occur. One hundred consecutive cases of forearm fractures that were admitted at Childrens Orthopaedic Ward, Institute of Paediatrics at Hospital Kuala Lumpur between 1st January 1997 to 31st December 1998 were studied...
December 2001: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/11450710/increased-body-weight-and-decreased-radial-cross-sectional-dimensions-in-girls-with-forearm-fractures
#12
D L Skaggs, M L Loro, P Pitukcheewanont, V Tolo, V Gilsanz
A large number of children sustain fractures after relatively minor trauma and several investigators have associated these fractures to a deficient accumulation of bone during growth. This study was conducted to better characterize the skeletal phenotype associated with low-energy impact fractures of the forearm in girls. The densities of cancellous, cortical, and integral bone and the cross-sectional area were measured in the radius of 100 healthy white girls (aged 4-15 years) using computed tomography (CT); 50 girls had never fractured and 50 girls had sustained a forearm fracture within the previous month...
July 2001: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/11284576/treatment-of-unstable-fractures-of-the-forearm-in-children-is-plating-of-a-single-bone-adequate
#13
COMPARATIVE STUDY
A R Bhaskar, J A Roberts
Unstable fractures of the forearm in children present problems in management and in the indications for operative treatment. In children, unlike adults, the fractures nearly always unite, and up to 10 degrees of angulation is usually considered to be acceptable. If surgical intervention is required the usual practice in the UK is to plate both bones as in an adult. We studied, retrospectively, 32 unstable fractures of the forearm in children treated by compression plating. Group A (20 children) had conventional plating of both forearm bones and group B (12 children) had plating of the ulna only...
March 2001: Journal of Bone and Joint Surgery. British Volume
https://www.readbyqxmd.com/read/11130645/the-effects-of-ulnar-axial-malalignment-on-supination-and-pronation
#14
COMPARATIVE STUDY
M C Tynan, S Fornalski, P J McMahon, A Utkan, S A Green, T Q Lee
BACKGROUND: Forearm fractures are common injuries in both adults and children. Despite efforts to obtain anatomical alignment, axial rotational malunions occur, resulting in a decreased range of motion and a poor appearance. The objective of this study was to quantify loss of forearm rotation after simulation of ulnar malunions in supination and pronation. METHODS: Six fresh-frozen cadaveric upper extremities (mean age at the time of death, 79.4+/-2.8 years) were used to quantify loss of forearm rotation after simulation of axial rotational malunions of the ulna...
December 2000: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/11036546/-malunited-fractures-of-the-forearm-during-the-growth-period-with-special-reference-to-the-forearm-longitudinal-axis-case-reports
#15
K J Prommersberger, U Lanz
Malunion of forearm fractures located in the distal third will remodel satisfactorily providing the child is less than twelve years of age. Complete correction of gross deformity cannot be anticipated in diaphysial fractures when the child is over five years of age. Malunion of fractures of the forearm in children can lead to permanent functional disability with limitation of forearm rotation. In the case of functional disability, there is an indication for corrective osteotomy at the age over twelve in malunion of a fracture located in the distal third and already after age five in gross deformity of fractures to the midshaft of the forearm...
July 2000: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/10707224/refractures-of-the-radius-and-ulna-in-children
#16
M Bould, G C Bannister
Seven hundred and sixty-eight children with displaced forearm fractures requiring reduction were studied retrospectively. Of 38 refractures (incidence 4.9%), 34 occurred within nine months at the original fracture site. The median time to refracture was eight weeks after discontinuing cast immobilisation. Diaphyseal fractures were eight times more likely to refracture than metaphyseal fractures. The risk of refracture was inversely proportional to the duration of cast immobilisation. Cast immobilisation for a minimum of six weeks reduces the risk of refracture by a factor of between four and six...
November 1999: Injury
https://www.readbyqxmd.com/read/10525622/-pediatric-forearm-fractures-indications-technique-and-limits-of-conservative-management
#17
P A Ostermann, D Richter, K Mecklenburg, A Ekkernkamp, G Muhr, M P Hahn
Although several "minimal invasive" techniques for the operative management of pediatric forearm fractures have been developed recently, conservative treatment still remains the option with the lowest risk for small patients. We present the results of our clinical and radiological follow-up after an average of 52.4 months (4-112) in 102 pediatric patients. All fractures were treated conservatively. There were 68 fractures (66.7 %) of the distal third of the forearm, 30 fractures (29.4 %) of the midshaft area, and four fractures (3...
October 1999: Der Unfallchirurg
https://www.readbyqxmd.com/read/9457589/ulnar-nerve-injury-following-midshaft-forearm-fractures-in-children
#18
S Stahl, N Rozen, M Michaelson
We report three cases of ulnar nerve deficit in children following closed fractures of the forearm bones. Significant anterior angulation and displacement of the ulna was noted in all patients. Two patients were operated on at a later stage when no evidence of recovery was demonstrated; the ulnar nerve was found to be embedded in dense scar tissue. One patient was operated on at the time of injury; entrapment of the nerve on the anterior spike and partial transection was found. Early exploration is indicated in such cases and may result in full recovery...
December 1997: Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand
https://www.readbyqxmd.com/read/7941110/-forearm-fractures-in-children
#19
F Czerny, W Linhart, J M Rueger, D Sommerfeldt, A Pannike
A total of 285 children out of an 8 year period with fractures of the forearm were studied. Of these 175 (62.2%) had a fracture of the distal radius and 51 (18.2%) had a fracture of the distal forearm and there were 42 (14.7%) fractures in the middle or proximal third in this region. Three children with injuries of the distal radial epiphysis had to be treated by percutaneous wire fixation. Except for 2 cases who needed surgery all severe dislocated forearm fractures could be treated by closed reduction. In all cases the children were immobilized with a long upper arm cast for 3 to 4 weeks...
August 1994: Unfallchirurgie
https://www.readbyqxmd.com/read/7327730/midshaft-fractures-of-forearm-bones-in-children
#20
E K Alpar, K Thompson, R Owen, J F Taylor
Eighty midshaft fractures of the forearm bones in children are reviewed. These fractures occur predominantly in boys and are more frequent in the left forearm. The fractures can occur at any age, but the majority are seen between 6 and 8 years of age. They are divided into two groups: greenstick (Type 1) and displaced fractures (Type 2). Greenstick fractures (Type 1, 82.5 per cent) need only correction of the deformity without breaking the intact cortex, followed by supervized splintage for 6 weeks. Type 2(a) (3...
September 1981: Injury
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