Premature Closure of the Distal Radial Physis

Horii, Emiko; Tamura, Yoshihiro; Nakamura, Ryogo; Miura, Takayuki

doi:10.1016/0266-7681(93)90186-j

Cited by 23 publications

(13 citation statements)

References 8 publications

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“…31,32 In the course of this investigation, every effort was taken to establish a pin entry site proximal to the distal radial physis. In two patients, this was not possible and pins were placed across the growth plate.…”

Section: Discussionmentioning

confidence: 99%

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

Miller¹,

Taylor²,

Widmann³

et al. 2005

Journal of Pediatric Orthopaedics

152

127

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Thirty-four patients were enrolled in a prospective randomized study comparing cast immobilization alone versus percutaneous pin fixation following closed reduction of distal radial metaphyseal fractures. Patients older than 10 years of age with greater than 30 degrees of dorsal angulation or with complete fracture displacement were eligible for enrollment. Average follow-up was 10.5 weeks. All fractures healed uneventfully without deformity, growth arrest, or functional limitations. Overall complication rates were similar between groups. Thirty-nine percent of patients treated with casting had subsequent loss of reduction requiring remanipulation; there were no cases of loss of reduction in patients treated with pin fixation. Thirty-eight percent of patients treated with pin fixation had pin-related complications; all resolved following pin removal without long-term sequelae. Cost analysis showed no significant difference in treatment charges between groups. Treating surgeons should be aware of the potential short-term complications of each treatment method and adjust their postoperative care appropriately.

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Section: Discussionmentioning

confidence: 99%

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

Miller¹,

Taylor²,

Widmann³

et al. 2005

Journal of Pediatric Orthopaedics

152

127

View full text Add to dashboard Cite

show abstract

“…However, these should be removed when the injury is healed (17). Inappropriate pinning through the physis damages the growth plates and leads to partial premature closure of the distal radial physis (10,1).…”

Section: Discussionmentioning

confidence: 99%

A Completely Displaced Salter-Harris I Fracture of the Distal Radial Epiphysis with Intact Ulna: a Case Report and Review of the Literature

Beslikas

Dadoukis

Nenopoulos

et al. 2005

Acta Chirurgica Belgica

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We present a 12-year-old boy with a displaced fracture of the distal radial epiphysis type I according to the Salter-Harris classification. The distal radial epiphysis was completely dorsally displaced, while the distal ulna remained intact. The injury was result of a fall on the patient's outstretched hand. Closed reduction was applied and the forearm was immobilized with a long arm cast. In the radiological re-examination a week later, a complete re-displacement of the fracture was detected. Open reduction followed and interposed flexor tendons (flexor pollicis longus and flexor carpi radialis) were found in the anatomical position of the distal radial epiphysis. The displaced epiphysis was reduced and fixed with two Kirschner wires and a long arm cast for a period of 6 weeks. The follow-up examination 2 years later showed that the movement range of the wrist joint was not limited and skeletal growth of the radius was not disturbed. The failure of closed reduction in these fractures is due to anatomical obstacles such as periosteum, flexor tendons and pronator quadratus interposition. Repeated forceful manipulations to achieve closed reduction must be avoided because of the potential for a number of complications, such as growth arrest, compartment syndrome, and avascular necrosis of the epiphysis.

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“…3 Several case reports in the literature have described these posttraumatic deformities. [31][32][33][34][35] Despite the low incidence, this injury can lead to pain and deformity that is functionally distressing in a young population of patients. Standard treatment of posttraumatic distal radius physeal deformities usually involves osteotomies and or ephysiodeses.…”

Section: Discussionmentioning

confidence: 99%

Distraction Osteogenesis for Correction of Distal Radius Deformity After Physeal Arrest

Page

Szabo

2009

The Journal of Hand Surgery

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Premature Closure of the Distal Radial Physis

Cited by 23 publications

References 8 publications

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

A Completely Displaced Salter-Harris I Fracture of the Distal Radial Epiphysis with Intact Ulna: a Case Report and Review of the Literature

Distraction Osteogenesis for Correction of Distal Radius Deformity After Physeal Arrest

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