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Types of fractures of the proximal part of the ulna bone in children and youth

  • Łukasz MatuszewskiEmail author
General Review
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Abstract

In this paper, authors present the forms of fractures of proximal part of ulna bone. Research is based on the completed data of 34 child and young patients in the age of 9–17 years treated in the Clinic of Pediatric Surgery and Traumatology, Medical University of Lublin and Clinic of Traumatology, Medical University of Lublin, in the years 1986–2005. In those years we had 1,048 children and youth with various elbow’s fractures in age between 4 and 17 years. Fractures have been singled out according to the age and gender as well as the side of the fracture. In our material, we separated two main types of injuries of the proximal part of the ulna bone on the basis of the analysis of the course of the crack in the fracture which is the main difference from fractures of proximal part of ulna bone in older patients where we have an occasion to meet plenty of various forms of injuries predominately caused by higher energy. We proposed unambiguous naming of these childhood injuries on the strength of international anatomical nomenclature. During statistic analysis the relationships between the number of individual forms of fractures and the patient’s development period have been shown. We did not find a crucial statistical relationship between the development period and side of the fracture and any essential relationship between development period and gender of our patients. We affirmed that in the treatment of those kinds of fractures surgical methods predominate. Taking into account the presented results of applied treatment, we would like to emphasize the specificity of child’s skeletal system and risk of appearance of severe complications in case of inappropriate medical proceedings.

Keywords

Fractures Ulna bone Children 

Notes

Conflict of interest statement

No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

References

  1. 1.
    de Beaux AC, Beattie T, Gilbert F (1992) Elbow fat pad sign: implications for clinical management. J. R. Coll. Surg. 37:205Google Scholar
  2. 2.
    Blount WP (1955) Fractures in children. Williams and Wilkins, BaltimoreGoogle Scholar
  3. 3.
    Chapchal G (1981) Fractures in children. Thieme Stratton, New YorkGoogle Scholar
  4. 4.
    Fick DS, Lyons TA (1997) Interpreting elbow radiographs in children. Am Fam Physician 55:1278PubMedGoogle Scholar
  5. 5.
    Kassur T, Iwanicki T, Mendyk J, Kocoń H, Korycki M, Podsiadłowski J (1988) Elbow’s fractures in children. Diagnostic and treatment. Elbow’s injuries. Material from XIV meeting of pediatric trauma surgery section Polish Pediatric Surgery Associations, Warsaw, pp 5–15Google Scholar
  6. 6.
    Kisson N, Galpin R, Gayle M, Chacon D, Brown T (1995) Evaluation of the role of comparison radiographs views of the diagnosis of the traumatic elbow injuries. J Pediatr Orthop 15:449Google Scholar
  7. 7.
    Koszla M (1986) Fractures and dislocations in children. PZWL, WarsawGoogle Scholar
  8. 8.
    von Laer L (2001) Frakturen und Luxationen im Wachstumsalter. Thieme Verl, StuttgartGoogle Scholar
  9. 9.
    von Laer L, Pirwitz A, Vocke AK (1997) Post-traumatic problem cases involving the elbow in children. Orthopade 26:1030Google Scholar
  10. 10.
    Meyer-Marcotty MV, Lahoda LU, Hahn MP, Muhr G (2002) Differential therapy of radial head fracture: a critical analysis based on outcome of 53 patients. Unfallchirurg. 105:532CrossRefPubMedGoogle Scholar
  11. 11.
    Okłot K (2006) Traumatology in children and youth. PZWL, WarsawGoogle Scholar
  12. 12.
    Osemlak J, Obel W, Matuszewski Ł, Osemlak P (1998) Types of elbow’s fractures in children. Ann. Child. Traum. Surg. 1:20Google Scholar
  13. 13.
    Siwek R, Osemlak J, Obel W, Wypyski A (1988) Elbow’s injuries in children. Elbow’s injurie. Material from XIV meeting of pediatric trauma surgery section Polish Pediatric Surgery Associations. Warsaw, p 59Google Scholar
  14. 14.
    Szajner-Milart I, Papierkowski A (1997) Medicine of developmental age. PZWL, WarsawGoogle Scholar
  15. 15.
    Townsed DJ, Basett GS (1996) Common elbow fractures in children. Am Fam Physician 53:2031Google Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Pediatric Orthopedy and Rehabilitation ClinicMedical University in LublinLublinPoland

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