Is Bone Mineral Mass Truly Decreased in Teenagers With a First Episode of Forearm Fracture? A Prospective Longitudinal Study

Ceroni, Dimitri; Martin, Xavier; Delhumeau-Cartier, Cécile; Rizzoli, René; Kaelin, André; Farpour‐Lambert, Nathalie

doi:10.1097/bpo.0b013e31824b2b1f

Cited by 15 publications

(12 citation statements)

References 26 publications

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“…Eismann et al [29] demonstrate that during an average time of 15 days, it is also safe a rereduction after redisplacement following initial closed reduction. Cast immobilization should be [33,34]. In conclusion, the analysis of available data in the literature shows that conservative management is a very common, safe and successful treatment option in pediatric forearm fractures (Fig.…”

Section: Complete Fracturesmentioning

confidence: 86%

Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature

et al. 2020

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Purpose This narrative review intends to summarize the most important and relevant data on diagnosis and treatment of pediatric forearm fractures and to describe the characteristics and advantage of each therapeutic option. Methods We conducted a literature research considering peer-reviewed papers (mainly clinical trials or scientific reviews) using the string “forearm fracture AND epidemiology” or “forearm fracture AND diagnosis or “ forearm fracture AND treatment” or “forearm fracture AND casting” or “forearm fracture AND surgery”. Studies were identified by searching electronic databases (MEDLINE and PubMed) till April 2020 and reference lists of retrieved articles. Only English-language articles were included in the review. Results Conservative management with cast immobilization is a safe and successful treatment option in pediatric forearm fractures. Surgical indication is recommended when an acceptable reduction cannot be obtained with closed reduction and casting. Surgical treatment options are intramedullary nail, plating and hybrid fixation. Conclusions There is not a unique consensus about fracture management and treatment. Further studies are necessary to create univocal guidelines about optimal treatment, considering new techniques and available technologies.

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Section: Complete Fracturesmentioning

confidence: 86%

Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature

et al. 2020

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“…We focused on the method of treatment with special emphasis on difficulties faced during management and causes of refracture. 8 We studied refracture cases treated both conservatively and surgically. Bould in his study reported 4.9% refractures among 768 children with displaced fractures.…”

Section: Discussionmentioning

confidence: 99%

Paediatric forearm refractures- management and outcome: a prospective study

et al. 2019

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Background: Forearm fractures are one of the commonest injuries accounting for 40% of paediatric fractures with a refracture rate of nearly 5%. Forearm refractures are increasing probably due to poor bone mineralization as a result of decreased physical activity, Vitamin D deficiency. These are treated by conservative measures with closed reduction and casting or by surgical fixation with flexible nails or plates. There are no definitive guidelines for management of forearm refracture and implant removal.Methods: The study is aimed at the epidemiology, methods and difficulties of management and functional outcome of forearm refracture treatment. A prospective study of all the cases of forearm refracture who presented to our institution from 2010 to 2016 with refractures treated either by conservative methods or by IMN. All cases were followed up for 2 years and functional outcome was assessed serially according to price et-al criteria.Results: Our study contained 17 males and 8 females between 6 years and 14 years. 76% refractures occurred before 16 weeks and majority had only tricortical union at this time. 42% patients underwent surgical fixation following refracture. Price et al criteria showed excellent results in 72% of patients.Conclusions: Forearm refractures in children can be treated both conservatively and surgically like a primary fracture depending on the indications but needs 2 to 3 more weeks of immobilization. A good functional outcome was obtained in majority of the cases. We suggest using splints till quadricortical union is achieved to prevent chances of refracture.

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“…2 The majority of forearm fractures are located in the distal part of the forearm. 8,9 The age distribution of these fractures is bimodal; the peak incidence occurs between ages 10-14, coinciding with the adolescent growth spurt, with a second smaller peak incidence between 5-9 years of age. 9,10 The most common mechanism is a fall (83%) while direct trauma is a distant second (10%).…”

Section: Epidemiologymentioning

confidence: 99%

“…7,9 Loss of reduction is the most common complication in pediatric forearm fractures, with rates between 10 and 60%. 7 Refracture is another rare complication that can happen up to 6 months after the initial injury.…”

Section: Conservative Managementmentioning

confidence: 99%

Treatment of diaphyseal forearm fractures in children

2014

Orthop Rev

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Both bone forearm fractures are common orthopedic injuries. Optimal treatment is dictated not only by fracture characteristics but also patient age. In the pediatric population, acceptable alignment can tolerate greater fracture displacement due to the bone’s ability to remodel with remaining growth. Generally, these fractures can be successfully managed with closed reduction and casting, however operative fixation may also be required. The optimal method of fixation has not been clearly established. Currently, the most common operative interventions are open reduction with plate fixation versus closed or open reduction with intramedullary fixation. Plating has advantages of being more familiar to many surgeons, being theoretically superior in the ability to restore radial bow, and providing the possibility of hardware retention. Recently, intramedullary nailing has been gaining popularity due to decreased soft tissue dissection; however, a second operation is needed for hardware removal generally 6 months after the index procedure. Current literature has not established the superiority of one surgical method over the other. The goal of this manuscript is to review the current literature on the treatment of pediatric forearm fractures and provide clinical recommendations for optimal treatment, focusing specifically on children ages 3-10 years old.

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Is Bone Mineral Mass Truly Decreased in Teenagers With a First Episode of Forearm Fracture? A Prospective Longitudinal Study

Abstract: Level IV.

Cited by 15 publications

References 26 publications

Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature

Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature

Paediatric forearm refractures- management and outcome: a prospective study

Treatment of diaphyseal forearm fractures in children

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