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Remodeling capacity and functional outcome of palmarly versus dorsally displaced pediatric radius fractures in the distal one-third

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Abstract

Introduction

The purpose of this retrospective study was to compare the remodeling capacity and functional outcome of palmarly and dorsally displaced pediatric radius fractures in the distal one-third.

Materials and methods

Fifty-three children with a residual dorsal angulation of 15° (range 10°–28°, ±SD 5.32) and 31 children with a residual palmar angulation of 15° (range 10°–30°, ±SD 4.88) at fracture healing were re-examined clinically and radiologically with a median follow-up time of 10 years (range 5–15 years).

Results

There was no difference in the remodeling capacity, palmar tilt, radial inclination, and ulnar variance between both groups at follow-up. Pain as well as flexion/extension of the wrist and pronation showed no difference in both groups. Palmarly displaced fractures showed a significantly higher restriction of supination (p=0.01).

Conclusion

We conclude that remodeling of residual palmar angulation occurs to the same extent as it does in dorsal angulation. Functional outcome differs in forearm supination.

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Fig. 1a–d.
Fig. 2a–d.
Fig. 3a–e.

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Authors and Affiliations

  1. Department of Trauma Surgery and Sports Medicine, University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria

    Robert Zimmermann, Martin Gschwentner, Sigurd Pechlaner & Markus Gabl

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  1. Robert Zimmermann
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  2. Martin Gschwentner
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  3. Sigurd Pechlaner
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  4. Markus Gabl
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Correspondence to Robert Zimmermann.

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Zimmermann, R., Gschwentner, M., Pechlaner, S. et al. Remodeling capacity and functional outcome of palmarly versus dorsally displaced pediatric radius fractures in the distal one-third. Arch Orthop Trauma Surg 124, 42–48 (2004). https://doi.org/10.1007/s00402-003-0552-6

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  • DOI: https://doi.org/10.1007/s00402-003-0552-6

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