Radius Shaft Fractures-What Alignment is Acceptable at What Age? Plates or Flexible Nails?

Journal of Pediatric Orthopedics
Christine A Ho

Abstract

The transition from pediatric to adolescent fractures can lead to uncertainty on what level of surgical correction is warranted as remodeling is limited in these older patients. Adolescent diaphyseal radial shaft fractures present several unique challenges; the radial bow must be restored to preserve forearm rotation and there are several clinical scenarios where plating, even in the skeletally immature child, is strongly recommended and will have more reliable results over flexible intramedullary nails. In addition, judging how much angulation, rotation, and displacement will remodel in the older child can be a challenging decision, even for experienced pediatric orthopaedists. This overview discusses parameters for acceptable alignment in these fractures, when surgical fixation should be considered, and circumstances where plating should be considered over flexible nails.

References

Jan 1, 1977·Acta Orthopaedica Scandinavica·B E Nilsson, K Obrant
Nov 1, 1990·Journal of Pediatric Orthopedics·C T PriceJ C Flynn
Mar 1, 1994·Journal of Pediatric Orthopedics·A S YoungerW Tennant
Aug 5, 1998·The Journal of the American Academy of Orthopaedic Surgeons·K J Noonan, C T Price
Jun 17, 2005·Journal of Pediatric Orthopedics·Lewis E ZiontsMichael B Gerhardt
Jun 4, 2008·Journal of Pediatric Orthopedics·Keith R ReinhardtDavid M Scher
May 27, 2010·Journal of Pediatric Orthopedics·John M FlynnJennifer Goebel
Mar 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Matthew SardelliBruce A MacWilliams
May 16, 2012·Journal of Pediatric Orthopedics·Patrick B WrightCharles T Price
Jul 8, 2016·The Journal of Bone and Joint Surgery. American Volume·Douglas S WeinbergRaymond W Liu
Jun 6, 2020·Journal of Pediatric Orthopedics·Lindsey C ValoneAndrea S Bauer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.