Title
Acceptable Alignment of Forearm Fractures in Children: Open Reduction Indications
Abbreviated Journal Title
J. Pediatr. Orthop.
Keywords
fracture; child; forearm; radius; both-bone; malunion; pediatric; MALUNITED FRACTURES; SHAFT FRACTURES; INTRAMEDULLARY FIXATION; WIRE; FIXATION; OSTEOTOMY; MOTION; ELBOW; Orthopedics; Pediatrics
Abstract
Acceptable alignment of forearm fractures in children is controversial. An initial attempt at closed reduction in the emergency department is appropriate for the majority of these injuries. Complex or unstable fractures and those that cannot be maintained in acceptable alignment are candidates for surgical intervention. As a general guideline, fractures with complete displacement will remodel satisfactorily. However, angulation may be more critical for preservation of forearm rotation. Up to 15 degrees angulation is recommended as maximum angulation for mid-shaft and distal-shaft fractures in children younger than 8 years old. But 10 degrees is recommended as the maximum acceptable angulation for older children and proximal shaft fractures. When malunion is greater than this, remodeling is unreliable but may occur for fractures with less than 20-30 degrees of angulation.
Journal Title
Journal of Pediatric Orthopaedics
Volume
30
Publication Date
1-1-2010
Document Type
Article
Language
English
First Page
S82
Last Page
S84
WOS Identifier
ISSN
0271-6798
Recommended Citation
"Acceptable Alignment of Forearm Fractures in Children: Open Reduction Indications" (2010). Faculty Bibliography 2010s. 655.
https://stars.library.ucf.edu/facultybib2010/655
Comments
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