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Cozen's phenomenon revisited.

Alex Burton1, William Hennrikus

  • 1Department of Orthopaedics, Penn State College of Medicine, Hershey, Pennsylvania, USA.

Journal of Pediatric Orthopedics. Part B
|May 17, 2016
PubMed
Summary

This study evaluated Cozen

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Trauma
  • Pediatric Fracture Management

Background:

  • Cozen's fracture is a common injury in children.
  • Previous treatment methods for Cozen's fracture have varying outcomes.
  • Effectiveness of cast treatment with a varus mold for Cozen's fracture is not well-documented.

Purpose of the Study:

  • To assess the effectiveness of treating pediatric Cozen's fractures using a long leg cast with the knee in extension and a varus mold.
  • To determine the rate of valgus deformity development following this specific treatment protocol.

Main Methods:

  • Retrospective review of 14 pediatric patients treated for Cozen's fracture.
  • Treatment involved a long leg cast with the knee extended and a varus mold.

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  • Data collected included patient age, time to valgus deformity, and follow-up duration.

    • Main Results:

    • The study included 14 children with an average age of 3 years.
    • The average time to developing valgus deformity was 8.8 months.
    • 50% of patients developed a 5° valgus deformity, which was minimized compared to prior literature.

    Conclusions:

    • Treatment of Cozen's fracture with a long leg cast in extension and a varus mold appears to minimize valgus deformity.
    • This method offers a potentially effective conservative management strategy for pediatric Cozen's fractures.
    • Further research is warranted to confirm these findings and compare with other treatment modalities.