Epiphyseal Fractures of the Distal Radius in the Children
Journal of the Korean Fracture Society
;
: 225-231, 2008.
Article
in Korean
| WPRIM
| ID: wpr-115788
ABSTRACT
PURPOSE:
To evaluate the long-term results of treatment of epiphyseal fractures of the distal radius in children. MATERIALS ANDMETHODS:
23 cases of distal radial epiphyseal fracture, treated by twomethods:
group 1, closed reduction (CR) plus cast (6 cases); group 2, CR and K-wire fixation (under anesthesia due to marked translation of the distal fragment and swelling) plus cast (17 cases), were selected for this study. All patients were followed up for more than 1 year (average 3.2 years). Postoperatively, epiphyseal displacement and epiphyseal angulation were measured on anteroposterior and lateral radiographs. At follow-up, the affected and normal sides were compared. Final results were classified by radiologic (radial inclination, volar tilting and radial shortening) and clinical (limitation of ROM, wrist pain, grip strength and wrist deformity) criteria.RESULTS:
Group 1 had 5 good, 1 fair result; group 2 had 14 good, 2 fair and 1 poor - there was no statistically significant difference between two groups. All cases where the epiphyseal displacement was less than 30% had good results. A poor case showed a radial shortening, wrist deformity and pain due to premature epiphyseal closure. Premature epiphyseal closure was treated by bar resection and free fat, along with corrective osteotomy when necessary and lengthening of radius with or without epiphysiodesis of the ulna.CONCLUSION:
Remodeling can be expected in epiphyseal fractures of the distal radius. Repeated forceful attempts to achieve accurate reduction should be avoided to prevent secondary physeal injury.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Radius
/
Congenital Abnormalities
/
Wrist
/
Follow-Up Studies
/
Hand Strength
/
Displacement, Psychological
/
Anesthesia
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2008
Type:
Article
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