Les fractures de l’extrémité distale du radius chez l’enfant

Otayek, Salma; Ramanoudjame, M.; Fitoussi, Franck

doi:10.1016/j.hansur.2016.02.013

Cited by 5 publications

(6 citation statements)

References 25 publications

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“…In our study, we found a predominance of child-specific fractures in both bones of the forearm. Fractures mainly affect the radius and most often its distal part [2,6] . The results of the literature are therefore confirmed in our work, namely the predominance on the thoracic limb and on the distal quarter of the radius.…”

Section: Discussionmentioning

confidence: 99%

Diaphyseal fractures specific to children

PA,

2024

Int. J. Orthop. Sci.

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Introduction:Fractures specific to children deserve to be individualized from other fractures because of the particular pathological pictures, therapeutic orientations and evolutionary aspects usually borrowed from a good prognosis. Objective: The aim was to report on the epidemiological, diagnostic, therapeutic and evolutionary aspects of diaphyseal fractures specific to children. Patients and Method: This is a retrospective study over a period of 4 years at the pediatric surgery department of the Aristide Le Dantec University Hospital in Dakar. Results: The frequency was 13.14% of all fractures diagnosed during the same period. The most affected age group was 6 to 15 years. Domestic accidents were the most frequent cause, followed by recreational accidents. The two bones of the forearm were the most affected. Most of the fractures involved the distal third with 101 fractures. Green wood fractures predominated (47%), followed by butter clod fractures (43%). Plastic and subperiosteal fractures accounted for 9% and 6% of fractures, respectively. All our patients benefited from an orthopedic treatment that consisted of 150 circular casts, 20 plastered splints and 10 fixed bandages, strapping or Blount. Sequelae-free consolidation was the rule in all patients. Conclusion: The child's own fractures most often occur at school age. They are dominated by playful accidents and involve the distal third of long bones. Orthopedic treatment gives very good results.

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Section: Discussionmentioning

confidence: 99%

Diaphyseal fractures specific to children

PA,

2024

Int. J. Orthop. Sci.

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“…Distal radius fractures are very common during childhood. 5 6 They mostly result from a fall onto an outstretched hand. 6 And they are frequently associated with ulnar fractures (diaphysis, metaphysis, or ulnar styloid process).…”

Section: Discussionmentioning

confidence: 99%

“…5 6 They mostly result from a fall onto an outstretched hand. 6 And they are frequently associated with ulnar fractures (diaphysis, metaphysis, or ulnar styloid process). 2 6 Isolated ulnar fracture is uncommon.…”

Section: Discussionmentioning

confidence: 99%

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When to Suspect DRUJ's Instability in Children? Case Report of a Rare Presentation of Distal Forearm Fractures

Saugy

Brégou

2022

European J Pediatr Surg Rep.

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Pediatric displaced distal metaphyseal ulnar fractures and distal radial buckle fractures are common. However, to the best of our knowledge, their association has never been specifically reported. Thus, classification and management of this pattern remain challenging especially in young children. Distal radioulnar joint (DRUJ)'s assessment is difficult. A Galeazzi-equivalent injury should be suspected. We report the case of a 2-year-old boy who presented the above-mentioned association of forearm fractures and compare our management with actual recommendations. We would recommend a low-suspicion threshold for DRUJ's instability in young children presenting with displaced distal metaphyseal ulnar fracture associated with distal radial buckle fracture. That suspicion should raise the necessity of appropriate treatment and follow-up.

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“…Out of the fractures involving upper limbs distal radius fractures are most common and are usually caused by road traffic accidents or fall from height. 1 Irrespective of cause of these fractures the mechanism of injury remains fairly uniform in majority of the cases and consist of a fall on outstretched hand thereby causing fracture and rotational displacement. Distal radius fractures are more commonly seen in boys as compared to girls and the peak incidence is seen in between age group of 10-14 years.…”

Section: Introductionmentioning

confidence: 99%

Management of isolated distal end of radius fracture in pediatric age group: An observational study

Phadke¹,

Allamwar²,

Antrolikar³

2021

Asian J Med Sci

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Background: Fractures of the distal radius are one of the common fractures for which pediatric orthopedic consultations are sought. The usual mechanism of injury is fall on outstretched hand seen following a road traffic accident or fall. Most of these fractures are treated either conservatively or by closed reduction and immobilization in cast. In some cases, internal fixation by K-wiring may be required. We conducted this study to analyzed outcome of distal end radius fracture in pediatric age group who were treated by immobilization alone, by closed reduction and immobilization and closed reduction with internal fixation by K-Wire and immobilization in cast. Aims and Objectives: 1. To analyze outcome of distal end radius fracture in pediatric age group. 2. To study complications in children presenting with distal end radius fracture. Materials and Methods: This was an observational study conducted in the department of orthopedics of a tertiary care medical college. 60 pediatric patients with distal radius fractures and treated either by conservative management or by surgical intervention were included in this study on the basis of a predefined inclusion and exclusion criteria. Gender distribution, mean age and mechanism of injury in the affected cases were analyzed. Patients were treated either by immobilization alone, by closed reduction and immobilization and closed reduction with internal fixation by K-Wire and immobilization in cast. Patients were followed up for 8 weeks. Complications and time for complete union was assessed during follow up visits. Functional outcome was assessed by QuickDash Score. Results: Out of these 60 patients there were 52 (86.66%) males and 8 (13.33%) females with a male to female ratio of 1:0.15. The mean age of affected cases in Boys and Girls was found to be 13.09 +/- 2.93 years and 12.5+/- 3.64 years respectively. Dominant hand was involved in 41 (68.33 %) whereas non-dominant hand was involved in remaining 19 (31.66 %) cases. In 16 (26.67%) patients only casting was required whereas closed reduction and casting was done in 25 (41.67%) patients in remaining 19 (31.67%) patients closed reduction and K-Wire fixation was done. 42 (70%) patients had excellent functional outcome whereas 9 (15%) patients had good functional outcome and 9 (15%) patients were found to have satisfactory outcome. 4 (6.66%) patients developed pressure sores, 1 (1.67%) patient had stiffness and there was 1 (1.67%) case of pin site infections. All these complications were successfully managed by conservative means. Conclusion: Fractures of distal end of radius in pediatric age group can be managed successfully either by immobilization alone or by closed reduction and casting. Internal Fixation by K-Wires may be required in some cases.

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Les fractures de l’extrémité distale du radius chez l’enfant

Cited by 5 publications

References 25 publications

Diaphyseal fractures specific to children

Diaphyseal fractures specific to children

When to Suspect DRUJ's Instability in Children? Case Report of a Rare Presentation of Distal Forearm Fractures

Management of isolated distal end of radius fracture in pediatric age group: An observational study

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