We conducted a descriptive, retrospective, single-center, analytical cohort study of all patients treated at La Fe Hospital, Valencia, Spain, who presented with a diaphyseal humeral fracture with radial nerve involvement between 2010 and 2020. The study was approved by the La Fe Hospital's Ethics Committee (2020/218359).
This review intends to address the importance of avulsion fractures in the pediatric patient, given that they are relatively frequent and an underdiagnosed pathology. We have searched the most recent bibliography available in concern with this topic to reveal the most important aspects of this pathology such as the pathophysiology, and the diagnostics techniques and treatments available. Muscular traction is seen to be the main cause of this particular growth plate fractures. For the diagnosis a proper interview and physical examination is needed, to explain the mechanism of production and physiopathology, we will also need the use of simple radiography and CT to characterize these lesions. As far as the treatment is concern, it will be conservative with a slowly progressive rehabilitation program in most of the cases, nevertheless some complications may ap-pear, and surgical rescue may be indicated. Surgical techniques are variable, multiple, and sur-geon-dependent, also the localization of the lesion and characteristics of the patient should count to decide the best treatment. Due to possible complications, an early diagnosis is needed.
Las fracturas de pelvis suponen un reto tanto en su diagnóstico como en su tratamiento. El manejo inicial de estas fracturas es clave a la hora del pronóstico y del correcto tratamiento posterior de estos pacientes. Además, tienen una alta morbimortalidad que en ocasiones condiciona el tratamiento definitivo. Es clave conocer la clasificación, entender el mecanismo de producción de la fractura, puesto que nos puede dar información valiosa de otras lesiones orgánicas asociadas. El tratamiento lo más precoz posible cuando el estado del paciente lo permita, es clave para obtener una reducción de la fractura posible, así como un resultado funcional óptimo. Por último, es importante no olvidarse de las secuelas asociadas a estas fracturas, que pueden condicionar la calidad de vida del paciente.
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