Pediatric and Adolescent Forearm Fractures: Current Controversies and Treatment Recommendations

被引:46
作者
Pace, James Lee [1 ]
机构
[1] Childrens Hosp Los Angeles, Dept Sports Med, Los Angeles, CA 90027 USA
关键词
pediatric forearm fracture; adolescent forearm fracture; children; forearm fracture; trauma; SHAFT FRACTURES; INTRAMEDULLARY FIXATION; INTERNAL-FIXATION; OPEN REDUCTION; NONOPERATIVE MANAGEMENT; COMPARTMENT SYNDROME; OPERATIVE TREATMENT; OLDER CHILDREN; COMPLICATIONS; PREDICTORS;
D O I
10.5435/JAAOS-D-15-00151
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
Pediatric and adolescent forearm fractures continue to present treatment challenges. Despite high-level evidence to the contrary, traditional guidelines for nonsurgical treatment have been challenged in favor of surgical intervention, but it is unclear if this results in improved outcomes. Recent evidence suggests that certain open fractures in children may be successfully treated nonsurgically. Good results have been achieved with closed reduction and appropriate casting and clinical follow-up. Further research investigating functional outcomes into adulthood is needed.
引用
收藏
页码:780 / 788
页数:9
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