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midshaft forearm fractures in children

https://read.qxmd.com/read/18520274/comparison-of-intramedullary-nailing-to-plating-for-both-bone-forearm-fractures-in-older-children
#21
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://read.qxmd.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
#22
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://read.qxmd.com/read/14569764/early-remodeling-in-children-s-forearm-fractures
#23
JOURNAL ARTICLE
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://read.qxmd.com/read/11450710/increased-body-weight-and-decreased-radial-cross-sectional-dimensions-in-girls-with-forearm-fractures
#24
JOURNAL ARTICLE
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
https://read.qxmd.com/read/11284576/treatment-of-unstable-fractures-of-the-forearm-in-children-is-plating-of-a-single-bone-adequate
#25
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://read.qxmd.com/read/11130645/the-effects-of-ulnar-axial-malalignment-on-supination-and-pronation
#26
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://read.qxmd.com/read/11036546/-malunited-fractures-of-the-forearm-during-the-growth-period-with-special-reference-to-the-forearm-longitudinal-axis-case-reports
#27
JOURNAL ARTICLE
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://read.qxmd.com/read/10707224/refractures-of-the-radius-and-ulna-in-children
#28
JOURNAL ARTICLE
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://read.qxmd.com/read/10525622/-pediatric-forearm-fractures-indications-technique-and-limits-of-conservative-management
#29
JOURNAL ARTICLE
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://read.qxmd.com/read/9457589/ulnar-nerve-injury-following-midshaft-forearm-fractures-in-children
#30
JOURNAL ARTICLE
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://read.qxmd.com/read/7941110/-forearm-fractures-in-children
#31
JOURNAL ARTICLE
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://read.qxmd.com/read/7327730/midshaft-fractures-of-forearm-bones-in-children
#32
JOURNAL ARTICLE
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
https://read.qxmd.com/read/7096406/malunited-fractures-of-the-forearm-in-children
#33
JOURNAL ARTICLE
D J Fuller, C J McCullough
Malunion of fractures of the forearm in children can lead to permanent disability. The capacity of the radius and ulna to remodel spontaneously after malunion has been assessed in this study. Forty-nine children who had malunited fractures of the forearm were examined when the remodelling process was complete. It was noted that fractures of the distal third of the radius and ulna led to fewer problems than those of the diaphysis. It was concluded that malunion of the distal third of the radius and the ulna will remodel satisfactorily providing the child is less than 14 years of age...
1982: Journal of Bone and Joint Surgery. British Volume
https://read.qxmd.com/read/3711323/both-bone-midshaft-forearm-fractures-in-children
#34
COMPARATIVE STUDY
S Kay, C Smith, W L Oppenheim
To determine whether closed treatment of both-bone midshaft forearm fractures routinely results in acceptable clinical outcome for children less than 16 years of age, we retrospectively studied all such patients treated at our two hospitals between 1970 and 1982. All children less than 10 years of age at the time of fracture had excellent results. Of 14 patients between the ages of 10 and 16 years, closed treatment failed in nine. We conclude that the incidence of poor results from closed treatment of the fractures in children greater than 10 years of age is seriously underestimated...
May 1986: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/2009667/angular-remodeling-of-midshaft-forearm-fractures-in-children
#35
JOURNAL ARTICLE
D Vittas, E Larsen, S Torp-Pedersen
Thirty-six children treated for angulated midshaft forearm fractures were roentgenographically reexamined after a median time of four years (range, two to 5.8 years). The angulation of the fractures and epiphyseal plates was measured at the time of healing and at the follow-up examination. In children younger than 11 years of age, there was a significant correlation between fracture correction and change in epiphyseal plate angulation, with the highest degree of correction being 13 degrees. In children older than 11 years, no correlation was found, and the degree of fracture correction was unpredictable...
April 1991: Clinical Orthopaedics and related Research
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