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Acquired Upper Extremity Growth Arrest.

Erich M Gauger, Lauren L Casnovsky, Erica J Gauger

    Orthopedics
    |September 30, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Acquired growth arrest in pediatric upper extremities, often caused by trauma or infection, most commonly affects the distal radius. Surgical interventions like epiphysiodesis and osteotomy effectively treat resulting deformities.

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    Area of Science:

    • Pediatric Orthopedics
    • Skeletal Development
    • Growth Plate Injuries

    Background:

    • Acquired growth arrest in pediatric upper extremities can lead to significant deformities.
    • Understanding the etiology and common sites is crucial for effective management.
    • Previous studies have highlighted trauma and infection as primary causes.

    Purpose of the Study:

    • To review the clinical history and management of acquired growth arrest in the pediatric upper extremity.
    • To identify the most common etiologies and anatomical locations of physeal arrests.
    • To evaluate the effectiveness of surgical interventions for deformity correction.

    Main Methods:

    • Retrospective review of clinical records from 1996 to 2012.
    • Inclusion criteria: radiographically proven acquired growth arrest, excluding tumors and hereditary causes.
    • Data collected: etiology, site, management, and complications of physeal arrests.

    Main Results:

    • 51 physeal arrests in 44 pediatric patients (mean age 10.6 years).
    • Distal radius (24 cases) was the most common site; trauma (22 cases) and infection (11 cases) were leading etiologies.
    • 59% of patients underwent surgery (epiphysiodesis, osteotomy) for deformity correction; 3 complications occurred.

    Conclusions:

    • Acquired upper extremity growth arrest is predominantly caused by trauma or infection, frequently impacting the distal radius.
    • Surgical management, including epiphysiodesis and osteotomy, is effective for correcting growth disturbances.
    • Anatomical site of arrest is a key determinant in treatment strategy.