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Operative treatment of radial neck fractures in children
Łukasz Matuszewski1, Jarosław Kałakucki, Andrzej Ciszewski
1Department of Paediatric Orthopaedics and Rehabilitation, Medical University of Lublin, Poland. lukasz.matuszewski@umed.lublin
Insights
Proximal radial fractures in children often affect the growth plate. Closed reduction with intramedullary stabilization (ESIN) effectively treats these fractures, preventing complications and restoring elbow joint motion.
Area of Science:
- Pediatric Orthopedics
- Musculoskeletal Injuries
- Pediatric Trauma
Background:
- Proximal radial fractures are common pediatric musculoskeletal injuries.
- These fractures present diverse treatment options and potential complications.
- Fracture lines often involve the growth plate in pediatric patients.
Purpose of the Study:
- To present the types of proximal radial fractures in children.
- To evaluate the treatment outcomes for these fractures.
- To analyze the effectiveness of different surgical interventions.
Main Methods:
- Retrospective analysis of 28 pediatric patients treated between 2006-2010.
- Evaluation of clinical parameters including bone displacement, age, sex, and treatment type.
- Assessment of operative treatment results through 2-5 year post-operative follow-up.
Main Results:
- Fractures predominantly occur in adolescents and early school-aged children.
- Fracture lines are frequently located within the growth plate.
- Post-operative follow-up data on treatment types and outcomes were analyzed.
Conclusions:
- Paediatric radial neck fractures are common in adolescents and young children, involving the growth plate.
- Closed reduction with intramedullary stabilization (ESIN) is an effective treatment.
- ESIN for radial neck fractures eliminates complications and promotes early restoration of elbow joint motion.
Introduction:
Injuries to the ulnar joint area are common musculoskeletal injuries in children. Among them, proximal radial bone fractures are characterized by a variety of treatment methods applied and a risk of complications.
Objective:
The aim of the present paper is to present the types and treatment results of proximal radial bone fractures in children.
Material And Methods:
The present study is based on data obtained from the medical histories of 28 patients treated in the years 2006-2010. The clinical parameters analysed included the extent of bone fragment displacement, age and sex of the patient, and type and result of the operative treatment.
Results:
Types and results of the operative treatment are presented based on post-operative clinical follow-up of 2 to 5 years.
Conclusions:
1. Paediatric radial neck fractures occur primarily in adolescents and children at early school age, and the fracture line extends within the growth plate area. 2. The treatment results allow us to conclude that closed reduction of a radial neck fracture with intramedullary stabilization (ESIN) eliminates complications and provides for earlier restoration of the range of motion in the ulnar joint.
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