Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures.

Acta Orthopaedica
Per-Henrik Randsborg, Einar A Sivertsen

Abstract

Numerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. The stability of greenstick and buckle fractures of the distal radius was assessed by comparing the lateral angulation radiographically. The medical records of 305 distal radius fractures in patients aged less than 16 years treated at our institution in 2006 were reviewed, and any complications were noted. The fracture type was determined from the initial radiographs and the angulation on the lateral films was noted. Only 1 of 311 follow-ups led to an active intervention. The greenstick fractures had more complications than the buckle fractures. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. The greenstick fractures displaced 5 degrees on average, and continued to displace after the first 2 weeks. On average, the complete fractures displaced 9 degrees . Buckle fractures are stable and do not require follow-up. Greenstick fractures are unstable and continue to displace after 2 weeks. Complete fractures of the distal radius are uncommon in children, and highly uns...Continue Reading

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Citations

Mar 31, 2011·International Journal of Technology Assessment in Health Care·Camilla von KeyserlingkRon Goeree
Dec 22, 2011·International Journal of Pediatrics·Barry J O'NeillWilliam Curtin
Apr 26, 2013·Acta Orthopaedica. Supplementum·Per-Henrik Randsborg
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