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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2009, Number 2

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Acta Ortop Mex 2009; 23 (2)

Assessment and treatment of plastic deformation fractures of forearm in patients younger than five years-old. Case report

Di Silvio LF, Ball DD, Frías GH, Fernández PLJ, Osorno ACG, Álvarez CM
Full text How to cite this article

Language: Spanish
References: 12
Page: 94-97
PDF size: 99.87 Kb.


Key words:

deformation, fracture, forearm, pronation, supination.

ABSTRACT

The fractures by plastic deformation in the forearm of children are not common and they are produced by an applied forces to the upper extremity. The produced stress over the bone structure is near to the plastic limit. If the deformity is angulated more than 20°, the correction must be done surgically or by closed means; if it is less than 20° and the patient is younger than five years old, the physiological remodelling should be permitted. It is duty of the orthopaedic surgeon to maintain clinical supervision, taking care of range of motion specially on pronation and supination.


REFERENCES

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  2. Dee R: Principles of Orthopaedic Practice. New York: McGraw-Hill, 1997: 573-4.

  3. Blount WP: Forearm fractures in children. Clin Orthop 1967; 51: 93.

  4. Vorlat P, De Boeck H: Traumatic bowing of children’s forearm bones: an unreported association with fracture of the distal metaphysic. J Trauma 2001; 51: 1000-3.

  5. Borden S: Roentgen recognition of acute plastic bowing of the forearm in children. Am J Roentgenol 1975; 125: 524.

  6. Sanders WE, Heckman JD: Traumatic plastic deformation of the radius and ulna. Clin Orthop 1984; 188: 58-67.

  7. Vorlat P, De Boeck H: Bowing fractures of the forearm in children, a long term follow-up. Clin Orthop 2003; 413: 233-7.

  8. King RE: Fractures of the shafts of the radius and ulna. In Rockwood CA Jr, Wilkins KE, King RE, editors: Fractures in children, Philadelphia, 1984, JB Lippincott.

  9. Nimitytongskul P, Anderson LD, Sri P: Plastic deformation of the forearm: a review and case reports. J Trauma 1919; 31: 1678.

  10. Mabrey JD, Fitch RD: Plastic deformation in pediatric fractures: mechanism and treatment. J Pediatr Orthop 1989; 9: 310.

  11. Thompson JL: Acute plastic bowing of bone. J Bone Joint Surg 1982; 64-B: 123.

  12. Shear AJ, Smith B, Turco VJ: Mid-third forearm fractures in children: an unorthodox treatment. Am J Orthop 1999; 28(1): 60-3.




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Acta Ortop Mex. 2009 Mar-Abr;23