Pediatric Distal Radius and Forearm Fractures

Bae, Donald S.

doi:10.1016/j.jhsa.2008.10.013

Cited by 124 publications

(139 citation statements)

References 44 publications

(41 reference statements)

Supporting

Mentioning

128

Contrasting

Unclassified

Order By: Relevance

“…Loss of fracture reduction is the most commonly reported complication of manipulated distal forearm fractures; although earlier published series have reported loss of reduction rates between 10% and 91% of cases; in general, up to one third of cases will demonstrate late displacement [7]. Exact and repeated radiological checks are necessary [16] because early identification allows additional treatment, which will prevent further complications [7].…”

Section: Risk Factorsmentioning

confidence: 99%

“…Exact and repeated radiological checks are necessary [16] because early identification allows additional treatment, which will prevent further complications [7].…”

Section: Risk Factorsmentioning

confidence: 99%

“…Bae et al [7] defined distal radius fractures as "acceptable" in a bayonet apposition; specifically, in the sagittal plane up to 30°if more than five years of growth is remaining and 5°less for each year less than five, and in the frontal plane 10-15°if more than five years of growth is remaining. Flynn defined forearm fractures as "acceptable" at up to 10-20°angulation in children less than ten years old and no more than 10°angulation in those above ten years old and 30°malrotation.…”

Section: Acceptable Reduction/re-displacementmentioning

confidence: 99%

“…Forearm fractures represent one of the most common fractures in children aside from clavicle fractures [1][2][3], and the distal radius is the most common fracture site accounting for 20-30% of these fractures [4][5][6][7][8]. Metaphyseal fractures are more common than fractures of the diaphysis, followed by epiphyseal fractures [4,9].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Paediatric forearm and distal radius fractures: risk factors and re-displacement—role of casting indices

Mazzini

Martín

2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Forearm fractures represent one of the most common fractures in children aside from clavicle fractures, and the distal radius is the most common fracture site accounting for 20-30% of these fractures. Maintaining acceptable reduction is not always possible, and redisplacement or re-angulation is the most commonly reported complication. Factors leading to this complication can be broadly divided into three groups: fracture-, surgeon-and patient-related. The quality of casting has been historically measured subjectively. The description of several casting indices by different authors has been a major undertaking, attempting to address objective assessment of this factor. The following have been described: cast index, padding index, gap index, three point index and second metacarpal-radius angle. For distal radius fractures we think that the three point index is the most valuable measurement for predicting re-displacement among surgeon related factors; this index has not been used in forearm fractures in which the rest of the indices seem to be useful in predicting re-displacement. The casting indices should not be interpreted as a separate issue but in conjunction with fracture characteristics and patient factors.

show abstract

Section: Risk Factorsmentioning

confidence: 99%

“…Exact and repeated radiological checks are necessary [16] because early identification allows additional treatment, which will prevent further complications [7].…”

Section: Risk Factorsmentioning

confidence: 99%

Section: Acceptable Reduction/re-displacementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Paediatric forearm and distal radius fractures: risk factors and re-displacement—role of casting indices

Mazzini

Martín

2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…The distal radius is the most common fracture site within forearm fractures, accounting for 20-30% of these fractures [3,4]. Most of these fractures occur at the metaphysis [5].…”

Section: Introductionmentioning

confidence: 99%

Distal metaphyseal radius fractures in children following closed reduction and casting: can loss of reduction be predicted?

Mazzini

Beck

Brewer

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The aim of this study was to identify factors which contribute to loss of reduction (LOR). Methods Outpatient records and initial, post-reduction (PR) and follow-up radiographs of patients with a distal radial metaphyseal fracture were reviewed to determine demographic factors; fracture characteristics (obliquity, comminution, intact ulna); three-point cast index (3PI); and initial, PR, and follow-up displacement (angulation and translation in the sagittal and coronal planes). Univariate and multivariate regression were used to identify significant risk factors for LOR. Results A total of 161 patients were included in our series (119 boys and 42 girls). Fifty-seven (35%) patients met the criteria for LOR. Multivariate logistic regression revealed that patients over 14 years old were 4.8 times more likely (p00.01) to lose reduction, and those with more than 10% PR translation in the sagittal plane were four times more likely (p00.03) to lose reduction. In younger patients, initial coronal translation and PR sagittal translation were independent risk factors. Patients with over 10% initial translation in the coronal plane were 2.4 times more likely (p00.01) to lose reduction, and those with over 10% PR translation in the sagittal plane were 2.7 times more likely (p00.03) to lose reduction. Three point cast index was not found to be a significant risk factor (1.64 vs. 1.57, p00.43).Conclusion Our study, the largest dedicated series of distal radial metaphyseal fractures, indicates that loss of reduction is common. Our analysis suggests that an anatomical reduction, which minimises residual translation, is the most important variable in preventing a loss of reduction.

show abstract

Imaging of Pediatric Traumatic Musculoskeletal Emergencies

Brown¹,

Stein-Wexler²

2021

Atlas of Emergency Imaging From Head-to-Toe

View full text Add to dashboard Cite

Pediatric Distal Radius and Forearm Fractures

Cited by 124 publications

References 44 publications

Paediatric forearm and distal radius fractures: risk factors and re-displacement—role of casting indices

Paediatric forearm and distal radius fractures: risk factors and re-displacement—role of casting indices

Distal metaphyseal radius fractures in children following closed reduction and casting: can loss of reduction be predicted?

Imaging of Pediatric Traumatic Musculoskeletal Emergencies

Contact Info

Product

Resources

About