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Sex-Based Anatomical Variations and Complication Risks in Pediatric Both-Bone Forearm Fractures: A Level of Evidence
Onur Cetin1, Ali Can Koluman2, Mesut Demirkoparan3
1Department of Orthopedics and Traumatology, Istanbul Medipol University, 34815 Istanbul, Türkiye.
In older children, boys with both-bone forearm fractures (BBFF) show greater angulation and longer bones, leading to higher surgical needs. These sex-based anatomical differences impact fracture patterns and treatment strategies.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Radiology
Background:
- Both-bone forearm fractures (BBFF) are common pediatric injuries.
- Older children have less predictable healing and higher complication risks.
- Sex-based anatomical variations in BBFF require investigation.
Purpose of the Study:
- To evaluate sex-based anatomical differences in pediatric BBFF.
- To determine the association between these differences and complication rates.
Main Methods:
- Retrospective review of 163 pediatric patients (boys >10, girls >8 years) with unilateral BBFF.
- Biplanar radiographs analyzed for angulation, bone length, and radial bow.
- Complications and surgical interventions were recorded.
Main Results:
- Boys had greater initial radius angulation and longer radius/ulna lengths.
- Maximum radial bow percentage did not differ by sex.
- Twenty boys (15.5%) required surgery versus zero girls (p=0.007).
Conclusions:
- Boys exhibit anatomical traits linked to unstable BBFF patterns and increased surgery.
- Recognizing these sex-based differences aids early risk assessment.
- Improved management strategies can result from understanding these anatomical variations.
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