Paediatric forearm fractures. Issue 5 (October 2018)

• Record Type: Journal Article
• Authors: Widnall, James; Bruce, Colin
• Is Part Of: Orthopaedics and trauma. Volume 32:Issue 5(2018:Oct.)
• Page Start: 372
• Page End: 377
• Publication Date: 2018-10
• Subjects: distal radius -- forearm -- fracture -- greenstick -- intramedullary -- paediatric; Orthopedics -- Periodicals; Traumatology -- Periodicals; 616.7
• DOI: 10.1016/j.mporth.2018.07.016
• Languages: English
• ISSNs: 1877-1327

Abstract

Abstract: Paediatric forearm fractures are a common presentation to orthopaedic surgeons. They include a number of different injuries including diaphyseal fractures, distal radius fractures and Galeazzi equivalent injuries. Apart from angulation, there is often a rotational component to the injury that must be assessed and accounted for to allow adequate reduction. The majority can be treated via conservative methods however K-wire fixation, plating and more recently elastic nails have all been utilised to good effect. K-wires can be used in a trans-physeal fashion or via an intrafocal technique. Outcomes between plate and nail fixation appear similar but nails offer better cosmesis and easier hardware removal. There has been a recent trend towards non-operative treatment of grade 1 open injuries of the forearm but this is yet to have the backing of level I evidence.