Epiphyseal Fractures of the Distal Radius in the Children
Journal of the Korean Fracture Society
;
: 225-231, 2008.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteotomia
/
Rádio (Anatomia)
/
Anormalidades Congênitas
/
Punho
/
Seguimentos
/
Força da Mão
/
Deslocamento Psicológico
/
Anestesia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Criança
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Fracture Society
Ano de publicação:
2008
Tipo de documento:
Artigo
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