Traumatic Bowing of Forearm and Lower Leg in Children

Abstract

Traumatic bowing of the forearm or lower leg is reported in 31 children. It is a relatively rare condition. Bowing occurs most frequently in combination with fracture of the other bone in the same extremity. In a minority of cases a bowing deformity is a single lesion. Age distribution, degree of deformity, mechanism of origin and therapy are presented and discussed.

Acute Traumatic Fibular Bowing Associated with Ankle Fracture

“…Since growth plates in this patient were closed, no remodeling of the fibular deformity -as reported for younger children [1,2,4,5] -was observed during follow-up. A periosteal reaction was observed on the concave side of the fibular deformity; this has also been found in bowing associated with tibial diaphyseal fractures [2,3].…”

“…Acute plastic fibular bowing has always been reported in association with angulated tibial fractures [1-4, 6, 7] and in two cases with plastic bowing of the tibia [2,5]; in all cases, tibial fracture or bowing has been located in the diaphyseal area. In the present case, by contrast, a transverse fracture of the medial malleolus, with tearing of the syndesmotic ligaments, was associated with bowing of the fibula rather than along the tibial fracture line.…”

“…Acute traumatic fibular bowing associated with tibial diaphyseal fracture has been reported both in children [1][2][3][4][5] and in adults [6,7]. We report on a case of traumatic fibular bowing associated with ankle fracture in a teenage girl.…”

Traumatic bowing deformities in tubular bones

“…Since Borden's original report, he [8] and others [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] have reported on additional cases of APBD in bone (Table 1). It is now known that although APBD does occur more frequently in [9] 1990 Ulna Albert and Engber [10] 1974, 1975 Borden [3,8] Ulna, radius Bowen [12] 1983 Clavicle 1978…”

“…Radius, fibula Komara et al [17] 1979 Martin and Riddervold Fibula [18] Miller and Osterkamp 1982 Ulna, radius [19] 1982 Ogden [20] Ulna, radius 1985 Orenstein et al [21] Tibia Rogers et al [22] 1978 [25] 1978 Ulna, radius, fibula Teitz et al [26] 1980 Fibula 1982 Thomson [27] Ulna, radius 1977 Young [28] Ulna…”