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Traumatic bowing of the forearm: a case report
Clinical Orthopaedics and Related Research
|March 1, 1979
Summary
Traumatic forearm injuries in children can cause plastic bone deformation, leading to persistent bowing and limited motion. This condition, though recently recognized, highlights the importance of understanding pediatric bone trauma.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Pediatric Radiology
Background:
- Forearm injuries in children can result from various mechanisms.
- Understanding the long-term effects of pediatric bone trauma is crucial for diagnosis and management.
- Plastic deformation of bone is a recognized but less common outcome of pediatric skeletal injuries.
Observation:
- A 16-year-old female sustained a forearm injury from industrial machinery (textile factory rollers).
- The injury resulted in significant swelling, followed by noticeable forearm bowing within one week.
- The bowing persisted for at least three months, causing a 30-degree limitation in pronation.
Findings:
- The case illustrates plastic deformation of forearm bones in a pediatric patient following significant trauma.
- The observed bowing was a persistent radiological and clinical finding.
- Functional limitation, specifically pronation deficit, was directly correlated with the bone deformity.
Implications:
- This case underscores the clinical and radiological recognition of plastic bone deformation in pediatric forearm injuries.
- It highlights the potential for long-term functional deficits following seemingly acute traumatic events in children.
- Further research into the mechanisms and management of plastic bone deformation is warranted.