Displaced paediatric fractures of the distal radius

被引:56
作者
Hove, Leiv M. [1 ]
Brudvik, Christina
机构
[1] Haukeland Hosp, Dept Orthopaed & Traumatol, N-5021 Bergen, Norway
[2] Univ Bergen, Dept Surg Sci, Bergen, Norway
[3] Bergen Legevakt, Bergen Accident & Emergency Dept, N-5000 Bergen, Norway
关键词
paediatric fracture; distal radius; fracture pattern; age trends; remodelling; conservative treatment;
D O I
10.1007/s00402-007-0473-x
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
Introduction The purpose of this study was to review, over a fixed period of time and in a geographically defined area, all paediatric fractures of the distal radius that were initially reduced. We wished to assess the fracture pattern at different ages, the seasonal variation, the severity of the initial angulation, and the radiological outcome in terms of reangulation, remodelling, refracture, growth disturbance, and functional outcome. Materials and methods A total of 88 patients were followed in a prospective setting (11 fractures of the distal radial physis). The pre- and post-reduction and follow-up radiological variables were measured. Patients with significant malangulation at union were re-examined after 7 years to assess the degree of spontaneous remodelling. Results The mean malangulation before reduction was 19 degrees, after reduction 5 degrees and at union 4 degrees. Eight patients had secondary displacement during the casting period. Fractures with more than 15 degrees of malangulation at union had completely remodelled and had normal function at final follow-up. Conclusion Conservative treatment may still be regarded as the gold standard for closed paediatric fractures of the distal radius. In the present series, the remodelling capacity was excellent.
引用
收藏
页码:55 / 60
页数:6
相关论文
共 42 条
[1]  
ARMSTRONG PF, 1993, PEDIAT FRACTURES FOR, P127
[2]   EPIDEMIOLOGY OF FRACTURES OF THE DISTAL END OF THE RADIUS IN CHILDREN AS ASSOCIATED WITH GROWTH [J].
BAILEY, DA ;
WEDGE, JH ;
MCCULLOCH, RG ;
MARTIN, AD ;
BERNHARDSON, SC .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1989, 71A (08) :1225-1231
[3]   DISTAL FOREARM FRACTURES IN CHILDREN - THE ROLE OF HAND DOMINANCE [J].
BORTON, D ;
MASTERSON, E ;
OBRIEN, T .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1994, 14 (04) :496-497
[4]   Childhood fractures in Bergen, Norway: Identifying high-risk groups and activities [J].
Brudvik, C ;
Hove, LM .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2003, 23 (05) :629-634
[5]  
Bulajic-Kopjar M, 2000, Inj Prev, V6, P16, DOI 10.1136/ip.6.1.16
[6]   Physeal fractures of the distal radius and ulna: Long-term prognosis [J].
Cannata, G ;
De Maio, F ;
Mancini, F ;
Ippolito, E .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2003, 17 (03) :172-179
[7]   A 10-year study of the changes in the pattern and treatment of 6,493 fractures [J].
Cheng, JCY ;
Ng, BKW ;
Ying, SY ;
Lam, PKW .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1999, 19 (03) :344-350
[8]   Reduction versus remodeling in pediatric distal forearm fractures: a preliminary cost analysis [J].
Do, TT ;
Strub, WM ;
Foad, SL ;
Mehlman, CT ;
Crawford, AH .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2003, 12 (02) :109-115
[9]   EPIDEMIOLOGY OF FRACTURES OF THE DISTAL FOREARM IN OSLO, NORWAY [J].
FALCH, JA .
ACTA ORTHOPAEDICA SCANDINAVICA, 1983, 54 (02) :291-295
[10]  
FLYNN JM, 2006, STAYING OUT TROUBLE, P82