Distal radius fractures in children

被引:4
|
作者
Otayek, S. [1 ]
Ramanoudjame, M. [1 ]
Fitoussi, F. [1 ]
机构
[1] Univ Pierre & Marie Curie Paris 6, Serv Chirurg Orthoped & Reparatrice Enfant, Hop Trousseau, 26 Rue Dr Arnold Netter, F-75012 Paris, France
来源
HAND SURGERY & REHABILITATION | 2016年 / 35卷
关键词
Pediatric; Distal radius; Fracture; Growth arrest; RANDOMIZED CONTROLLED-TRIAL; FOREARM FRACTURES; CLOSED REDUCTION; REDISPLACEMENT; ARREST; CAST; FIXATION; PLATE;
D O I
10.1016/j.hansur.2016.02.013
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Metaphyseal and physeal fractures of the distal radius are common in children. Most cases are best treated with closed reduction and cast immobilization. Long-term outcomes of these injuries are excellent when specific treatment principles of reduction and casting are followed. Surgical indications are limited and include open fractures, infra-articular fractures, non-reducible fractures, unstable fractures, and the presence of associated nerve injury. Closed reduction and percutaneous pin fixation is the most commonly used surgical option. The clinician should be aware of delayed complications such as growth disturbance of the distal radius, and understand how to manage these problems to ensure successful long-term outcomes. Epiphysiodesis is uncommon but growth plate injuries need to be followed for one year. (C) 2016 SFCM. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:S150 / S155
页数:6
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