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incidence forearm fractures in children

Jonas Esche, Simone Johner, Lijie Shi, Eckhard Schönau, Thomas Remer
CONTEXT: Diet can impact on bone strength via metabolic shifts in acid-base status. In contrast to the strongly diet-dependent biomarker urinary potential renal acid load (uPRAL), the amount of renally excreted citrate integrates nutritional and systemic influences on acid-base homeostasis with high citrate indicating preferential alkalization. OBJECTIVE: To examine the association between urinary citrate excretion and bone strength as well as long-term fracture risk...
September 27, 2016: Journal of Clinical Endocrinology and Metabolism
Timo Rantalainen, Benjamin K Weeks, Rossana C Nogueira, Belinda R Beck
Skeletal robustness (cross-section size relative to length) is associated with stress fractures in adults, and appears to explain the high incidence of distal radius fractures in adolescents. However, little is known about the ontogeny of long bone robustness during the first three decades of life. Therefore, we explored the ontogeny of tibial, fibular, ulnar and radial robustness in a cross-sectional sample of 5 to 29year-old volunteers of both sexes. Peripheral quantitative computed tomography (pQCT) was used to evaluate cross-sections of the leg (4%, 14%, 38% and 66%), and forearm (4%, and 66%) in N=432 individuals...
September 17, 2016: Bone
G Büchele, C Becker, I D Cameron, R Auer, D Rothenbacher, H H König, K Rapp
: Age- and sex-specific fracture rates of 18,000 people with developmental disabilities aged 0-69 years were compared to the general population. Age-standardized incidence of femoral fracture was 4.8- and 7.1-fold higher in women and men, respectively. Comparable fracture risks to the general population occurred 10-15 years earlier in females and 20-40 years earlier in males. INTRODUCTION: Previous studies suggested that fracture risks in people with developmental disabilities (DD) may be higher than in people in the general population...
August 24, 2016: Osteoporosis International
Amanda Lyman, Daniel Wenger, Lennart Landin
This study aims to describe the epidemiology of pediatric diaphyseal forearm fractures in an urban population and the complications of titanium elastic nailing. The medical records of 456 consecutive fractures were reviewed. The annual incidence was 0.7/1000 children. Eighty-six (19%) fractures in 83 children were titanium elastic nailed. The complication rate was 24%. Dorsal entry to the radius was associated with extensor pollicis longus rupture and radial entry was associated with sensory nerve deficit in three cases each...
September 2016: Journal of Pediatric Orthopedics. Part B
Juha-Jaakko Sinikumpu, Willy Serlo
The incidence of forearm shaft fractures in children has increased in recent years. They are challenging to treat and they can result in several long-lasting complications. The treatment of children's fractures needs to be individualized to their needs. Nonoperative care will be satisfactory for young, preschool children and it is primarily treatment in stable fractures of children at every age. Injury mechanism must be understood to perform appropriate closed reduction. Immobilization using a long-arm cast needs to be focused against the deforming muscle forces - in particular those that rotate - in the forearm, keeping the bones in alignment until bone healing...
May 2015: Journal of Pediatric Orthopedics. Part B
Emmanuel Gibon, Jean-Sébastien Béranger, Manon Bachy, Marion Delpont, Reda Kabbaj, Raphaël Vialle
OBJECTIVES: Both bone forearm fractures are efficiently treated by elastic stable intramedullary nail (ESIN). According to the original technique, the tip of the nail must be bent at 90° and buried under the skin. However, skin irritation is commonly reported and may lead to early surgery to shorten the tip or remove the hardware. The purpose of this study was to investigate the influence of the bending of the tip of the nail in this procedure. METHODS: We retrospectively reviewed 72 children operated on using this technique with the tip bent either at 90° or at 180°...
April 2015: International Journal of Surgery
Juha-Jaakko Sinikumpu, Sarita Victorzon, Eeva Antila, Tytti Pokka, Willy Serlo
BACKGROUND AND PURPOSE: The incidence of forearm shaft fractures in children has increased and operative treatment has increased compared with nonoperative treatment in recent years. We analyzed the long-term results of nonoperative treatment. PATIENTS AND METHODS: We performed a population-based age- and sex-matched case-control study in Vaasa Central Hospital, concerning fractures treated in the period 1995-1999. There were 47 nonoperatively treated both-bone forearm shaft fractures, and the patients all participated in the study...
December 2014: Acta Orthopaedica
Ryan D Muchow, Anthony I Riccio, Sumeet Garg, Christine A Ho, Robert L Wimberly
BACKGROUND: Approximately 5% of supracondylar humerus fractures in children are associated with an ipsilateral forearm fracture, often referred to as a floating elbow when both injuries are displaced. Historically, these patients have higher complication rates than patients with an isolated supracondylar humerus fracture. The purpose of this study was to review the acute neurologic and vascular injuries in patients with ipsilateral, operative supracondylar humerus and forearm fractures and compare the findings with a cohort of isolated, operative supracondylar humerus fractures...
March 2015: Journal of Pediatric Orthopedics
Michelle E Masnovi, Charles T Mehlman, Emily A Eismann, Douglas A Matey
OBJECTIVES: The purpose of this study was to assess refracture rates after angulation-only and completely displaced clavicle shaft fractures in children. DESIGN: Retrospective chart review. SETTING: Level 1 pediatric trauma center. PATIENTS: Computerized medical records searches identified children treated nonoperatively for clavicle shaft fractures at our institution. Inclusion criteria were age less than 18 years and a minimum of 1-year radiographic follow-up...
November 2014: Journal of Orthopaedic Trauma
Randall T Loder, William Schultz, Meagan Sabatino
BACKGROUND: No study specifically analyzes trampoline fracture patterns across a large population. The purpose of this study was to determine such patterns. METHODS: We queried the National Electronic Injury Surveillance System database for trampoline injuries between 2002 and 2011, and the patients were analyzed by age, sex, race, anatomic location of the injury, geographical location of the injury, and disposition from the emergency department (ED). Statistical analyses were performed with SUDAAN 10 software...
October 2014: Journal of Pediatric Orthopedics
Sheng-Hu Du, Yong-Zeng Feng, Yi-Xing Huang, Xiao-Shan Guo, Dong-Dong Xia
The purpose of this study was to evaluate and compare the outcome of single- and double-elastic stable intramedullary nailing (ESIN) for the treatment of pediatric both-bone forearm fractures. We retrospectively analyzed 49 children with both-bone forearm fractures treated with ESIN. Twenty-four patients were treated with single-ESIN (S-ESIN) to fixate the radius only, and the other 25 patients were treated with double-ESIN (D-ESIN) to fixate the radius and ulna. The duration of surgery, times of fluoroscopy, cost of hospitalization, period of castoff, union time, radiographic outcomes, clinical results, and postoperative complications were compared...
May 2016: American Journal of Therapeutics
Seyed Ali Marashi Nejad, Seyed Abdolhossein Mehdi Nasab, Mohammad Baianfar
BACKGROUND: Supracondylar fracture of the humerus is the most common elbow injury that requires reduction and immobilization in the proper position to union. There are a few reports regarding the position of the forearm immobilization on elbow cosmetic outcome. OBJECTIVES: This study aimed to compare two modes of the forearm, supination and pronation in elbow deformity incidence after closed reduction and casting of this fracture. PATIENTS AND METHODS: This prospective and descriptive study was carried out on children with supracondylar fracture of the humerus treated with closed reduction and cast immobilization in one of the two modes of either supination or pronation for a period of three weeks...
2013: Archives of Trauma Research
Andrew Biggin, Julie N Briody, Elizabeth Ormshaw, Karen K Y Wong, Bruce H Bennetts, Craig F Munns
BACKGROUND/AIMS: Intravenous bisphosphonate therapy is the mainstay of medical treatment in osteogenesis imperfecta (OI) and has been shown to increase bone mass, decrease bone pain, improve mobility, and reduce the incidence of fractures. Sclerotic metaphyseal lines parallel to the growth plate are seen on long bone radiographs following cyclical intravenous therapy. These areas create stress risers within the bone that may act as foci for subsequent fractures as exemplified in this clinical case...
2014: Hormone Research in Pædiatrics
Moon Seok Park, Chin Youb Chung, In Ho Choi, Tae Won Kim, Ki Hyuk Sung, Seung Yeol Lee, Sang Hyeong Lee, Dae Gyu Kwon, Jung Woo Park, Tae Gyun Kim, Young Choi, Tae-Joon Cho, Won Joon Yoo, Kyoung Min Lee
BACKGROUND: Fractures which need urgent or emergency treatment are common in children and adolescents. This study investigated the incidence patterns of pediatric and adolescent orthopaedic fractures according to age groups and seasons in South Korea based on population data. METHODS: Data on the number of pediatric and adolescent patients under the age of 18 years who utilized medical services due to fractures were retrieved from the Health Insurance Review and Assessment service in South Korea...
September 2013: Clinics in Orthopedic Surgery
R Kraus
BACKGROUND: Iatrogenic damage of the N. ulnaris is a known complication of treatment of supracondylar humeral fractures in children. But damage to the N. radialis can also occur in the treatment of many typical fractures of the upper extremity during growth. There are no differentiated investigations on their incidence. PATIENTS AND METHODS: This paper presents a prospective case collection and describes the personal experience with the occurrence and treatment of iatrogenic damage to the radial nerve during growth...
December 2014: Zentralblatt Für Chirurgie
Jeffrey E Martus, Ryan K Preston, Jonathan G Schoenecker, Steven A Lovejoy, Neil E Green, Gregory A Mencio
BACKGROUND: Flexible intramedullary nailing (IMN) has become a popular technique for the management of unstable or open forearm fractures. Recent publications have suggested an increased incidence of delayed union and poor outcomes in older children and adolescents. The objective of this study was to review forearm fractures treated with IMN, comparing the rate of complications and outcomes between the 2 age groups. Our hypothesis was that IMN is an effective technique with a similar rate of complications in both age groups...
September 2013: Journal of Pediatric Orthopedics
Andrew J Blackman, Lindley B Wall, Kathryn A Keeler, Perry L Schoenecker, Scott J Luhmann, June C O'Donnell, J Eric Gordon
BACKGROUND: There exist varying reports in the literature regarding the incidence of compartment syndrome (CS) after intramedullary (IM) fixation of pediatric forearm fractures. A retrospective review of the experience with this treatment modality at our institution was performed to elucidate the rate of postoperative CS and identify risk factors for developing this complication. METHODS: In this retrospective case series, we reviewed the charts of all patients treated operatively for isolated radius and ulnar shaft fractures from 2000 to 2009 at our institution and identified 113 patients who underwent IM fixation of both-bone forearm fractures...
January 2014: Journal of Pediatric Orthopedics
A M Asim, R Noor Fadzilah, S Rukmanikanthan, A Saw
INTRODUCTION: The distal radius is the most common fracture site in children, but local information on the fracture pattern, mechanism of injury and socio-demographic characteristics of the fracture is lacking. MATERIAL METHODS: We interviewed 126 children and their family members who were under follow up for this fracture in a single institution over a period of 2 years. Radiological images were reviewed to ensure that only those with fracture in the distal one third of the forearm were included...
October 2012: Medical Journal of Malaysia
Juha-Jaakko Sinikumpu, Tytti Pokka, Kai Sirniö, Reija Ruuhela, Willy Serlo
BACKGROUND: Paediatric forearm shaft fractures show an increasing incidence. The predictive factors of these fractures are not fully understood. Summer weather is suggested to have an effect on the risk of children's fractures. We studied the effect of rainfall, temperature and wind on paediatric forearm shaft fractures in summer. METHODS: All 148 children's forearm shaft fractures in the geographic catchment district during the summer months in 1997-2009 were included...
November 2013: Injury
Daniel Schulte, Sandra Habernig, Tycho Zuzak, Georg Staubli, Stefan Altermatt, Maya Horst, Daniel Garcia
BACKGROUND: Fractures of the forearm are the most common fractures in children. Various methods of cast immobilization have been recommended. Currently, there is still controversy regarding the optimal method of treatment, especially regarding the need for cast splitting. METHODS: We conducted a single-center randomized and controlled trial between June 2008 and September 2009. Children younger than 16 years presenting to the emergency department with a closed fracture of the forearm needing reduction were eligible for random assignment to immobilization in a closed or split circumferential semirigid cast...
April 2014: European Journal of Pediatric Surgery
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