- Pediatric Both Bone Forearm Fractures
- Monteggia's Fracture
- Green Stick Frx
- Distal Ulnar Physeal Fractures
- 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.
Traumatic plastic deformation of the radius and ulna. A closed method of correction of deformity.
Displaced diaphyseal forearm fractures in children: classification and evaluation of the early radiographic prognosis.
Pattern of forearm fractures in children.