Cargando…
Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures
Background and purpose Numerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. The stability of greenstick and buckle fractures of the dis...
Autores principales: | , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Informa Healthcare
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823323/ https://www.ncbi.nlm.nih.gov/pubmed/19916694 http://dx.doi.org/10.3109/17453670903316850 |
_version_ | 1782177633058947072 |
---|---|
author | Randsborg, Per-Henrik Sivertsen, Einar A |
author_facet | Randsborg, Per-Henrik Sivertsen, Einar A |
author_sort | Randsborg, Per-Henrik |
collection | PubMed |
description | Background and purpose Numerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. The stability of greenstick and buckle fractures of the distal radius was assessed by comparing the lateral angulation radiographically. Patients and methods The medical records of 305 distal radius fractures in patients aged less than 16 years treated at our institution in 2006 were reviewed, and any complications were noted. The fracture type was determined from the initial radiographs and the angulation on the lateral films was noted. Results Only 1 of 311 follow-ups led to an active intervention. The greenstick fractures had more complications than the buckle fractures. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. The greenstick fractures displaced 5° on average, and continued to displace after the first 2 weeks. On average, the complete fractures displaced 9°. Conclusion Buckle fractures are stable and do not require follow-up. Greenstick fractures are unstable and continue to displace after 2 weeks. Complete fractures of the distal radius are uncommon in children, and highly unstable. A precise classification of fracture type at the time of diagnosis would identify a smaller subset of patients that require follow-up. |
format | Text |
id | pubmed-2823323 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Informa Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-28233232010-02-18 Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures Randsborg, Per-Henrik Sivertsen, Einar A Acta Orthop Research Article Background and purpose Numerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. The stability of greenstick and buckle fractures of the distal radius was assessed by comparing the lateral angulation radiographically. Patients and methods The medical records of 305 distal radius fractures in patients aged less than 16 years treated at our institution in 2006 were reviewed, and any complications were noted. The fracture type was determined from the initial radiographs and the angulation on the lateral films was noted. Results Only 1 of 311 follow-ups led to an active intervention. The greenstick fractures had more complications than the buckle fractures. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. The greenstick fractures displaced 5° on average, and continued to displace after the first 2 weeks. On average, the complete fractures displaced 9°. Conclusion Buckle fractures are stable and do not require follow-up. Greenstick fractures are unstable and continue to displace after 2 weeks. Complete fractures of the distal radius are uncommon in children, and highly unstable. A precise classification of fracture type at the time of diagnosis would identify a smaller subset of patients that require follow-up. Informa Healthcare 2009-10-01 2009-10-01 /pmc/articles/PMC2823323/ /pubmed/19916694 http://dx.doi.org/10.3109/17453670903316850 Text en Copyright: © Nordic Orthopedic Federation http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited. |
spellingShingle | Research Article Randsborg, Per-Henrik Sivertsen, Einar A Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
title | Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
title_full | Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
title_fullStr | Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
title_full_unstemmed | Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
title_short | Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
title_sort | distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823323/ https://www.ncbi.nlm.nih.gov/pubmed/19916694 http://dx.doi.org/10.3109/17453670903316850 |
work_keys_str_mv | AT randsborgperhenrik distalradiusfracturesinchildrensubstantialdifferenceinstabilitybetweenbuckleandgreenstickfractures AT sivertseneinara distalradiusfracturesinchildrensubstantialdifferenceinstabilitybetweenbuckleandgreenstickfractures |