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[Forearm fractures in children].

W Schlickewei1, M Oberle

  • 1Abteilung Unfall- und Wiederherstellungschirurgie, Kindertraumatologie, Regionalverbund Kirchlicher Krankenhäuser, St. Josefskrankenhaus, Freiburg.

Der Unfallchirurg
|March 4, 2005
PubMed
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Pediatric forearm fractures are common injuries. Conservative treatment with casting is effective for stable fractures, while unstable fractures may require surgical intervention like intramedullary nailing.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology

Background:

  • Forearm fractures are frequent injuries in children, often resulting from leisure or sports activities.
  • Diagnosis relies on conventional X-rays, distinguishing between stable (e.g., greenstick) and unstable (dislocated) fractures.

Purpose of the Study:

  • To outline the diagnostic and therapeutic principles for pediatric forearm fractures.
  • To emphasize optimal management strategies for achieving successful outcomes and minimizing complications.

Main Methods:

  • Conventional X-ray examination in two planes for diagnosis.
  • Conservative management with long arm casting for stable or anatomically reducible fractures.
  • Surgical interventions including intramedullary nailing, external fixation, and plate osteosynthesis for specific indications.

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Main Results:

  • Stable fractures can be managed conservatively with acceptable axial dislocation limits based on age.
  • Unstable fractures necessitate surgical reduction, with elastic stable intramedullary nailing being the current standard.
  • Special fracture types like Monteggia and Galeazzi require specific consideration.

Conclusions:

  • Adherence to established therapeutic principles ensures successful outcomes for pediatric forearm fractures.
  • Complications are rare when appropriate management strategies are employed.
  • Early and accurate diagnosis is crucial for effective treatment planning.