The forearm is the part of the arm between the wrist and the elbow. It is made up of two bones: the radius and the ulna. Forearm fractures are common in. Both bone forearm fractures are common orthopedic injuries. Optimal treatment is dictated not only by fracture characteristics but also patient age. In the. one of the most common pediatric fractures estimated around 40% 15% present with an ipsilateral supracondylar fracture or “floating elbow”.
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Recently, intramedullary nailing has been gaining popularity due to decreased soft tissue dissection; however, antebrachui second operation is needed for hardware removal generally 6 months after the index procedure.
All of these cases resulted in successful healing of the fractures and did not require any internal fixation.
Treatment of Diaphyseal Forearm Fractures in Children
Distal radius fractures in children: The patient elects to have nonoperative management. Arrow points at the dislocated ulnar head The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint.
Please vote below and help us build the most advanced adaptive learning platform in medicine. Complications associated with retained implants after plate fixation of the pediatric forearm.
The most common location of injury is predictably a playground area. Above-elbow cast for 6 weeks. What treatment is indicated at this time?
Clinical Practice Guidelines : Radius – ulna shaft diaphysis fractures – Emergency Department
Another recent study comparing the operative treatment of both-bone mid-shaft forearm fractures described minimal differences between plating and intramedullary fixation among 34 children. True anteroposterior AP and lateral views antebrafhii include the wrist and elbow joint whole forearm should be ordered. Complications and outcomes of diaphyseal forearm fracture intramedullary nailing: The radius and ulna are bound together at the proximal and distal radioulnar joints and act as a ring.
This antebraachii is confirmed on radiographic evaluation. In a recent study, Tarmuzi et al.
An isolated ulna fracture may be associated with dislocation of the radial head Monteggia fracture-dislocation. Closed reduction is indicated in patients ages 0 to 8 with fracture angulation of greater than 10 degrees and malrotation greater than 30 degrees. Three refractures occurred in 2 patients, and all were the result of a new trauma. Greenstick fractures of the middle frracture of the forearm.
Optimal treatment is dictated not only by fracture characteristics but also patient age.
Referred to our institution for a second opinion and further management. Epidemiology Pediatric fractures present significant challenges to the orthopedic community. On the lateral radiograph the radial styloid and biceps tuberosity are oriented 90 degrees apart.
The diameter of available intramedullary implants range from 1. Generally, these fractures can be successfully managed with closed reduction and casting, however operative fixation may also be required. What do they look like on x-ray?
How common are they and how do they occur? Simple Ulna More info proceed Oblique Transverse With dislocation of proximal radioulnar joint Monteggia close Radius More info proceed Oblique Transverse With dislocation of distal radioulnar joint Galeazzi close Radius fracturr ulna More info proceed Wedge Ulna More info proceed No dislocation With dislocation of proximal radioulnar joint Monteggia close Radius More info proceed No dislocation With dislocation of distal radioulnar joint Galeazzi close One bone wedge, other simple or wedge More info proceed Multifrag- mentary Ulna multifragmentary, radius not More info proceed Radius multifragmentary, ulna not More info proceed Radius and ulna More info proceed Intact segmental Intact segmental of one bone, fragmentary segmental of the other Fragmentary segmental close Special considerations.
The management of these fractures aantebrachii on the antebrachji, type of fracture and fracture displacement. How would you manage this patient at this point? Articles Cases Courses Quiz.
Operative fixation with flexible nails With the exception of severe fracture comminution, most both bone forearm fractures that can be treated by plate fixation may also be treated with flexible nails through closed or open reduction techniques. Operative fixation with plates Holmes et al. Support Center Support Center.