Kindliche Unterarmschaftfrakturen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-09

AUTHORS

G. Zimmermann, C. Wagner, A. Wentzensen

ABSTRACT

Accounting for up to 8% of all childhood fractures, forearm shaft fractures represent one of the most frequent broken bones in children under the age of 10. In contrast to a distal forearm fracture that is quite amenable to spontaneous correction, only minor malalignment in the shaft can be adjusted during growth. Whether treated conservatively or by closed reduction, both precise axial alignment of the fracture and the subsequent close monitoring are decisive. In incomplete fractures of the cortical bone with axial deviation of more than 20°, the opposite cortical bone must be fractured to avoid malalignments and pseudarthroses. Absolute indications for surgery include vessel or nerve injury, extensive soft tissue damage, axial buckling >10° in children under the age of 10, rotational malalignment >30°, unstable fractures, ad latus displacement with bone contact of the ulna and radius, and redislocation or refracture after reduction. Surgical management with intramedullary osteosynthesis or plate osteosynthesis entails few complications and ensures reduction. Since intramedullary osteosynthesis can frequently be performed by minimally invasive techniques, this procedure is recommended. In contrast, pseudarthroses, refractures, and muscular insufficiency with paralysis remain indications for plate osteosynthesis. More... »

PAGES

232-236

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-004-0951-0

DOI

http://dx.doi.org/10.1007/s10039-004-0951-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050091519


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