Current conceptPediatric Distal Radius and Forearm Fractures
Section snippets
Distal Radius Fractures
Distal radius fractures are characterized by their anatomic location, fracture pattern, and magnitude of displacement, angulation, and rotation. Fractures typically involve the distal radial metaphysis or physis. Metaphyseal injuries are further subdivided into torus (“buckle”) fractures and bicortical fractures. Each fracture pattern has its own set of treatment principles and considerations.
Given the proximity of these fractures to the distal radial physis, remodeling potential is high. In
Forearm Fractures
Forearm fractures are common, occurring in approximately 1 of 100 children each year.1 When fractures of the distal radius and ulna are considered as a distinct injury, diaphyseal forearm fractures represent the third most common long bone fracture in children. Peak age of incidence is in the 12- to 14-year age group. Diaphyseal forearm fractures account for the most common open fractures of the upper extremity and the most common location of refractures in the pediatric patient population.
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Cited by (107)
Radius shortening as a limiting factor for closed reduction in pediatric forearm fractures
2022, Revista Espanola de Cirugia Ortopedica y TraumatologiaThe Effect of Casting Simulation on Maintenance of Fracture Alignment Following Closed Reduction of Pediatric Distal Radius Fractures: Does More Simulation Matter?
2021, Journal of Surgical EducationCitation Excerpt :Often times, the technique of cast placement is taught to junior trainees (residents) by more senior trainee colleagues. Although a greater number of pediatric wrist and forearm fractures are now being treated operatively due to an evolving patient profile with expectations of faster return to activity as well as the development of more innovative surgical techniques and instruments, casting is still the standard of care for acceptably aligned closed pediatric wrist and forearm fractures.9-12 In order to better solidify the principles and techniques of proper cast placement, a model for the simulated reduction of a distal radius fracture and cast application has been developed in order to provide proper education, objective feedback, and repetitive practice for this important skill set.13,14
Physeal Closure and Fracture Pattern in Adolescent Transitional Distal Radius Fractures
2024, Journal of Pediatric OrthopaedicsMy radius is broken - Do i need a cast or is a splint enough?
2024, Current Opinion in Pediatrics
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