- See:
-
Pediatric Both Bone Forearm Fractures
-
Monteggia's Fracture
-
Green Stick Frx
-
Distal Ulnar Physeal Fractures:
- Discussion:
- pediatric ulnar frx often occur along w/
pediatric both bone forearm frx
- ulnar frx may be complete or incomplete (
green stick frx);
- isolated ulnar shaft frx can occur in children (night stick mechanism) but w/ an "isolated frx,"
always consider a
pediatric Monteggia's fracture:
- Remodeling after Fracture:
- see
acceptable reduction for pediatric both bone forearm frx:
- correction of ulnar bowing by osteoclasis is not necessary in a child under 4 years old who has
less than 20 deg of plastic deformation;
- if bowing is > 20 deg, reduction should be done by first reducing plastically deformed bone
and then the fracture;
- immobilization in a well-molded long arm cast is necessary to avoid recurrence of the deformity;
Plastic deformation in pediatric fractures: Mechanisms and treatment.
Mabrey JD, Fitch RD: J Pediatr Orthop 1989;9:310.
Traumatic plastic deformation of the radius and ulna.
Sanders WE, Heckman JD: Clin Orthop 1984;188:58-67.
Displaced diaphyseal forearm fractures in children: classification and
evaluation of the early radiographic prognosis.
Pattern of forearm fractures in children.
Forearm fractures in children.
Pitfalls and complications.
Davis DR, Green DP:
Clin Orthop 1976;120:172.
