Abstract
Fractures of the forearm shaft and the distal shaft are very common in children. Due to the better functional results, fractures of the radius and ulna shaft should be reduced and fixed by intramedullary nailing (ESIN) in almost all ages, except young toddlers. Some of the fractures are greenstick fractures and need completion of the fracture and stabilization with ESIN. In Monteggia and Galeazzi injuries early detection is crucial, they are treated mostly operatively and early, otherwise functional deficits of the elbow and wrist take place. In contrast, distal radius fractures in children are in part uncomplicated fractures which can remodel up to 30° in small children. Complete instable fractures need to be reduced and temporarily fixed by K-wires and a cast, but the overall outcome is good.
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Chirurg PSD (2017) Frakturen der oberen Extremität im Kindes-/Wachstumsalter. Orthopäde. Thieme, Stuttgart. https://doi.org/10.1007/s00104-017-0420-5
Dietz HG, Schmittenbecher PP, Illing P (1997) Intramedulläre Osteosynthese im Wachstumsalter. Urban & Schwarzenberg, Munich
Dietz HG, Schmittenbecher PP, Slongo T, Wilkins KE (2006) Elastic stable intramedullary nailing (ESIN) in children. Thieme, Stuttgart
Frank J, Sommer K, Sander AL, Marzi I (2018) Soft tissue reconstruction of hands and feet in childhood. Trauma Berufskrankheit 48:2119–2110
Hubbard J, Chauhan A, Fitzgerald R, Abrams R, Mubarak S, Sangimino M (2018) Missed pediatric Monteggia fractures. JBJS Rev 6:e2
Kraus R (2014) Distal radial fractures in growing children. Trauma Berufskrankheit 16:53–60
Kruppa C, Bunge P, Schildhauer TA, Dudda M (2017) Low complication rate of elastic stable intramedullary nailing (ESIN) of pediatric forearm fractures. Medicine 96:e6669
Lieber J (2014) Growth behavior after fractures of the distal forearm: reasons for the high rate of overtreatment. Unfallchirurg 117:1092–1098
Lieber J, Sommerfeldt DW (2011) Diametaphyseal forearm fracture in childhood. Pitfalls and recommendations for treatment. Unfallchirurg 114:292–299
Marzi I (2016) Kindertraumatologie, 3rd edn. Springer, Berlin
Metaizeau JP (1988) Ostosynthese chez l’enfant par E.C.M.E.S. Sauramps, Montpellier
Peterlein C-D, Modzel T, Hagen L, Ruchholtz S, Krüger A (2019) Long-term results of elastic-stable intramedullary nailing (ESIN) of diaphyseal forearm fractures in children. Medicine 98:e14743
Schmittenbecher PP (2008) Osteosynthesen am proximalen Unterarm im Kindesalter. Oper Orthop Traumatol 20:321–333
Sinikumpu JJ, Nietosvaara Y (2021) Treatment of distal forearm fractures in children. Scand J Surg 110(2):276–280. https://doi.org/10.1177/1457496920983104
Stragier B, Smet LD, Degreef I (2018) Long-term follow-up of corrective ulnar osteotomy for missed Monteggia fractures in children. J Shoulder Elbow Surg 27:e337–e343
Weinberg A-M, Castellani C, Amerstorfer F (2008) Elastisch-stabile intramedulläre Marknagelung (ESIN) von Unterarmfrakturen. Oper Orthop Traumatol 20:285–296
van Delft EAK, Vermeulen J, Schep NWL, van Stralen KJ, van der Bij GJ (2020) Prevention of secondary displacement and reoperation of distal metaphyseal forearm fractures in children. J Clin Orthop Trauma 11:S817–S822
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Marzi, I., Frank, J., Rose, S. (2022). Forearm. In: Pediatric Skeletal Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-93685-3_9
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DOI: https://doi.org/10.1007/978-3-030-93685-3_9
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