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Distal ulnar growth arrest.

O A Nelson, J R Buchanan, C S Harrison

    The Journal of Hand Surgery
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Arrest of distal ulnar physeal growth in children causes radial bowing and wrist joint deformities. These growth discrepancies worsen during adolescence, impacting appearance and motion.

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    Area of Science:

    • Orthopedics
    • Pediatric Endocrinology

    Background:

    • Distal ulnar physeal arrest is a rare condition affecting forearm growth in children.
    • Understanding the long-term skeletal consequences is crucial for pediatric orthopedic management.

    Observation:

    • Four pediatric cases (ages 7-13) with distal ulnar physeal growth arrest were followed for 2-10 years.
    • Patients exhibited radial diaphysis bowing, ulnar translation of the distal radial epiphysis, and increased distal radiocarpal joint ulnar angulation.

    Findings:

    • Significant ulnar growth discrepancy (2.2-3.9 cm) and moderate radial growth discrepancy (0.2-1.6 cm) were observed.
    • Deformity progression was most pronounced during adolescence.
    • Limited radial deviation and pronation occurred, with cosmetic concerns being prominent.

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    Implications:

    • Surgical intervention may be indicated for progressive ulnar angulation, loss of motion, or cosmetic dissatisfaction.
    • Early recognition and monitoring are essential for managing forearm deformities in children.
    • This condition highlights the complex interplay between physeal growth and overall limb development.