PREMATURE CLOSURE OF THE DISTAL RADIAL PHYSIS AFTER FRACTURE OF THE DISTAL RADIAL METAPHYSIS

被引：17

作者：

AMINIAN, A ^{[1
]}

SCHOENECKER, PL ^{[1
]}

机构：

[1] SHRINERS HOSP CRIPPLED CHILDREN,ST LOUIS,MO 63131

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 04期

关键词：

ADOLESCENT; DISTAL RADIUS FRACTURE; PREMATURE GROWTH ARREST; SALTER-HARRIS; SHORTENING OSTEOTOMY;

D O I：

10.1097/01241398-199507000-00017

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：

Two fractures of the distal radius seemingly with lack of involvement of the distal radial physis are presented. Nevertheless, complete arrest of the adjacent physis occurred, suggesting a Salter-Harris V mechanism of injury to the vulnerable distal radial physis. Ulnar ''overgrowth'' produced impingement of the carpus and functional complaints sufficient to warrant treatment. In this clinical setting, an ulnar-shortening osteotomy done at skeletal maturity resulted in marked improvement in the range of motion at the radiocarpal joint and corresponding improvement in function for both patients so treated.

引用

页码：495 / 498

页数：4

共 16 条

[1]

Abram L.J., Thompson G.H., Deformity after premature closure of the distal radial physis following a torus fracture with a physeal compression injury, J Bone Joint Surg [Am], 69, pp. 1450-1453, (1987)

[2]

Bailey D.A., Wedge J.H., McCulloch R.G., Martin A.D., Bern-Hardson S.C., Epidemiology of fractures of the distal end of the radius with growth, J Bone Joint Surg [Am], 71, pp. 1225-1231, (1989)

[3]

Beekman F., Sullivan J.E., Some observations on fractures of long bones in children, Am J Surg, 51, pp. 722-738, (1941)

[4]

Blount R.W., Fractures in Children, pp. 112-128, (1955)

[5]

Crawford A.H., Pitfalls and complications of fractures of the distal radius and ulna in childhood, Hand Clin, 4, pp. 403-413, (1988)

[6]

Davis D.R., Green DP. Forearm fractures in children. Pitfalls and complications, Clin Orthop, 120, pp. 172-184, (1976)

[7]

Lee B.S., Esterhai J.L., Das M., Fractures of the distal radial epiphysis: Characteristics and surgical treatment of premature, post-traumatic epiphyseal closure, Clin Orthop, 185, pp. 90-95, (1984)

[8]

Morscher E., Strength and morphology of growth cartilage under hormonal influence of puberty, Reconstr Surg Trau-Matol, 10, pp. 3-104, (1968)

[9]

Morscher E., Jani L., Correction osteotomies in post-traumatic disturbances of growth-realignment: Osteotomies after lesions of the growth cartilage, Fractures in Children, pp. 30-36, (1981)

[10]

Ogden J.A., Skeletal Injury in the Child, pp. 505-507, (1990)

← 1 2 →