Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management

We present an adolescent with distal radius nonunion following an open fracture and failed surgery which eventually united when the length and stability was restored for eight weeks duration. The intact periosteal sleeve at the nonunion site formed new bone when its tension was restored by gradual d...

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Autores principales: Sivashanmugam, Raju, Vijay, Sriram, Balakumar, Balasubramanian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292322/
https://www.ncbi.nlm.nih.gov/pubmed/25593362
http://dx.doi.org/10.4103/0019-5413.143919
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author Sivashanmugam, Raju
Vijay, Sriram
Balakumar, Balasubramanian
author_facet Sivashanmugam, Raju
Vijay, Sriram
Balakumar, Balasubramanian
author_sort Sivashanmugam, Raju
collection PubMed
description We present an adolescent with distal radius nonunion following an open fracture and failed surgery which eventually united when the length and stability was restored for eight weeks duration. The intact periosteal sleeve at the nonunion site formed new bone when its tension was restored by gradual differential distraction. This case report highlights the possibility of stimulating bony union in an established atrophic nonunion by distracting the minimally disturbed soft tissue and thick osteogenic periosteal envelope in the paediatric age group.
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spelling pubmed-42923222015-01-15 Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management Sivashanmugam, Raju Vijay, Sriram Balakumar, Balasubramanian Indian J Orthop Case Report We present an adolescent with distal radius nonunion following an open fracture and failed surgery which eventually united when the length and stability was restored for eight weeks duration. The intact periosteal sleeve at the nonunion site formed new bone when its tension was restored by gradual differential distraction. This case report highlights the possibility of stimulating bony union in an established atrophic nonunion by distracting the minimally disturbed soft tissue and thick osteogenic periosteal envelope in the paediatric age group. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4292322/ /pubmed/25593362 http://dx.doi.org/10.4103/0019-5413.143919 Text en Copyright: © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sivashanmugam, Raju
Vijay, Sriram
Balakumar, Balasubramanian
Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management
title Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management
title_full Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management
title_fullStr Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management
title_full_unstemmed Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management
title_short Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management
title_sort nonunion in a distal radius metaphyseal fracture in a child: role of intact periosteal sleeve in management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292322/
https://www.ncbi.nlm.nih.gov/pubmed/25593362
http://dx.doi.org/10.4103/0019-5413.143919
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AT balakumarbalasubramanian nonunioninadistalradiusmetaphysealfractureinachildroleofintactperiostealsleeveinmanagement

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