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Injuries about the distal ulna in children

L Bley1, W H Seitz

  • 1Department of Orthopaedic Surgery, Mt. Sinai Medical Center, Cleveland, Ohio, USA.

Hand Clinics
|May 30, 1998
PubMed
Summary
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This review covers pediatric distal ulna injuries, including ulnar styloid fractures and growth plate (physeal) injuries. It highlights the serious long-term risks of physeal injuries and chronic stress-related conditions in young athletes.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Pediatric Traumatology

Background:

  • Distal ulna injuries are common in children.
  • Ulnar styloid fractures are frequent and generally have less deforming potential than Salter-Harris injuries.
  • Physeal injuries pose significant risks for growth impairment.

Purpose of the Study:

  • To review various distal ulna injuries in pediatric populations.
  • To differentiate the risks and characteristics of different injury types.
  • To discuss chronic and acute injury patterns.

Main Methods:

  • Literature review of pediatric distal ulna injuries.
  • Analysis of injury types including fractures and stress injuries.
  • Discussion of potential long-term consequences.

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Main Results:

  • Ulnar styloid fractures are common and less concerning for deformity.
  • Physeal injuries are the most serious due to growth impairment potential.
  • Chronic stress injuries and distal radio-ulnar joint disruptions are also significant concerns.

Conclusions:

  • Understanding the spectrum of distal ulna injuries in children is crucial.
  • Physeal injuries require careful management to prevent long-term functional deficits.
  • Chronic overuse injuries in young athletes warrant attention.