Complete fractures of the distal radius are uncommon in children, and highly unstable. Greenstick fractures are unstable and continue to displace after 2 weeks.
īuckle fractures are stable and do not require follow-up. On average, the complete fractures displaced 9 degrees. Usually, the wrist is X-rayed in 2 planes as. The greenstick fractures displaced 5 degrees on average, and continued to displace after the first 2 weeks. Distal radius and forearm fractures are injuries that are frequently seen in trauma surgery outpatient clinics. Surgical intervention is indicated for significantly displaced or angulated fractures in. Treatment is closed reduction and casting for the majority of fractures. Diagnosis is made with plain radiographs of the forearm. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. Both Bone Forearm Fractures are one of the most common pediatric fractures, estimated around 40 of all pediatric fractures. The greenstick fractures had more complications than the buckle fractures. Only 1 of 311 follow-ups led to an active intervention. The fracture type was determined from the initial radiographs and the angulation on the lateral films was noted. The medical records of 305 distal radius fractures in patients aged less than 16 years treated at our institution in 2006 were reviewed, and any complications were noted. The stability of greenstick and buckle fractures of the distal radius was assessed by comparing the lateral angulation radiographically. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. 163 Video/Pods 30 Techniques 4 4.5 ( 165 ) 68 Topic Podcast Images Summary Distal radius fractures are the most common orthopaedic injury and generally result from fall on an outstretched hand. this review has found that angular displacement after the application of a cast occurs less often when the forearm is immobilised in the supinated position.Numerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. treatment is with the application of a plaster of Paris cast. Relevant Paper(s) Author, date and countryĦ0 children, 20 randomly allocated to each groupĪngular displacement greatest in pronation group and least in the supination groupįracure of the distal radius is a common injury in children.
Greenstick fracture distal radius trial#
treatment is with the application of a plaster of Paris cast, but in which position should the forearm be immobilised (pronated, neutral or supinated)ġ citation which was a high quality randomised control trial radiology confirms a greenstick fracture of the distal radius. In with should Clinical ScenarioĪn eight year old child presents to the emergency department with a suspected wrist fracture.
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