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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.03.2014 | Orthopaedic Surgery

Three-dimensional imaging of children with severe limitation of pronation/supination after a both-bone forearm fracture

verfasst von: Joost W. Colaris, Stanley Oei, Max Reijman, Herma Holscher, Jan Hein Allema, Jan A. N. Verhaar

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 3/2014

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Abstract

Introduction

Although both-bone forearm fractures in children may result in severe limitation of forearm rotation, finding the cause remains a diagnostic challenge. This study tries to evaluate the role of rotational malunion, bony impingement and contractures of the interosseous membrane.

Patients and methods

Children (5–16 years) who suffered from a both-bone forearm fracture in diaphysis or distal metaphysis with a limitation of pronation/supination ≥40° at ≥6 months after trauma were included for analysis with conventional radiographs, computed tomography (CT) and magnetic resonance imaging (MRI).

Results

A total of 410 children with a both-bone forearm fracture were prospectively followed in four Dutch hospitals. At a median of 205 days, 7.3 % suffered from a limitation of pronation/supination ≥40°. 14 children were included (median limitation of 40°) and the radiographs revealed a median maximum angular malunion of 16°. CT analysis showed rotational malunion of both radius (median 19°) and ulna (median 9°). MRI analysis revealed neither bony impingement nor contractures of the interosseous membrane.

Conclusions

Three-dimensional imaging of children with a severe limitation of pronation/supination after a both-bone forearm fracture revealed rotational malunions of both radius and ulna without bony impingement or soft tissue contractures.

Level of evidence

Prospective multicenter study, Level 2.

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Titel: Three-dimensional imaging of children with severe limitation of pronation/supination after a both-bone forearm fracture
verfasst von: Joost W. Colaris
Stanley Oei
Max Reijman
Herma Holscher
Jan Hein Allema
Jan A. N. Verhaar
Publikationsdatum: 01.03.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 3/2014
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-1922-y

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Springer Medizin

Three-dimensional imaging of children with severe limitation of pronation/supination after a both-bone forearm fracture

Abstract

Introduction

Patients and methods

Results

Conclusions

Level of evidence

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Level of evidence

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