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[Forearm fractures in children]

F Czerny1, W Linhart, J M Rueger

  • 1Klinik für Unfallchirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main.

Unfallchirurgie
|August 1, 1994
PubMed
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This study analyzed 285 pediatric forearm fractures over 8 years. Excellent outcomes were observed for distal radius and distal forearm fractures treated non-surgically, while midshaft fractures showed satisfactory results.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology

Background:

  • Forearm fractures are common pediatric injuries.
  • Understanding fracture patterns and treatment outcomes is crucial for effective management.

Purpose of the Study:

  • To analyze the incidence and characteristics of pediatric forearm fractures.
  • To evaluate the treatment outcomes of different forearm fracture types in children.

Main Methods:

  • Retrospective study of 285 children with forearm fractures over an 8-year period.
  • Classification of fractures based on location (distal radius, distal forearm, midshaft, proximal).
  • Assessment of treatment methods (closed reduction, percutaneous wire fixation, surgery) and immobilization (long upper arm cast).

Main Results:

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  • Distal radius fractures (62.2%) and distal forearm fractures (18.2%) were most common.
  • Most severe dislocated fractures were managed with closed reduction, with only 2 requiring surgery.
  • Excellent results were noted for distal forearm and distal radial fractures, with satisfactory results for midshaft fractures.

Conclusions:

  • Non-operative management, primarily closed reduction and casting, is effective for most pediatric forearm fractures.
  • Distal forearm and distal radius fractures in children generally have excellent prognoses.
  • Midshaft forearm fractures may have less favorable outcomes compared to distal fractures.