Traumatic Separation of the Distal Ulnar Physis in Children

Introduction Osteochondroma (solitary) and multiple hereditary exostoses (plural) are defined as a cartilage-capped bony projection arising on the external surface of bone containing a marrow cavity that is continuous with that of the underlying bone. These tumors grow slowly and develop to cause symptoms such as limited range of motion, joint pain, lumps, and deformities. The use of ulnar distraction osteogenesis has gained popularity in treating deformity in forearm osteochondroma. Problems that arise including bone angulation and persistent radial head dislocation. Case presentation We describe eight cases of forearm osteochondroma that came to the Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia. We found two variations in the classification of Masada in these 8 patients, Masada type I and IIB. The main complaint was a bent arm. We decided to do surgery in the form of tumor resection and reconstruction of the deformity by using ulnar gradual lengthening and osteotomies. The results of the procedure were investigated in this study, using clinical and radiological parameters focusing on medium-term functional and structural outcomes. Discussion and conclusion Eight patients had overall good results, although performed with a different sequence of operating techniques. Ulnar lengthening with a monorail fixator is still the main choice in its implementation. Gradual ulnar lengthening improves not only the deformity but also the functionality of the associated forearm.

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Reconstruction using monorail fixator for forearm osteochondroma Masada type I and IIb: A case series

Kumara

Idulhaq

Satriadi

et al. 2021

International Journal of Surgery Case Reports

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Developing a core outcome set for paediatric wrist fractures: a systematic review of prior outcomes

et al. 2020

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Objectives This review aims to summarize the outcomes used to describe effectiveness of treatments for paediatric wrist fractures within existing literature. Method We searched the Cochrane Library, Scopus, and Ovid Medline for studies pertaining to paediatric wrist fractures. Three authors independently identified and reviewed eligible studies. This resulted in a list of outcome domains and outcomes measures used within clinical research. Outcomes were mapped onto domains defined by the COMET collaborative. Results Our search terms identified 4,262 different papers. Screening of titles excluded 2,975, leaving 1,287 papers to be assessed for eligibility. Of this 1,287, 30 studies were included for full analysis. Overall, five outcome domains, 16 outcome measures, and 28 measurement instruments were identified as outcomes within these studies. 24 studies used at least one measurement pertaining to the physiological/clinical outcome domain. The technical, life impact, and adverse effect domains were recorded in 23, 20, and 11 of the studies respectively. Within each domain it was common for different measurement instruments to be used to assess each outcome measure. The most commonly reported outcome measures were range of movement, a broad array of “radiological measures” and pain intensity, which were used in 24, 23, and 12 of the 30 studies. Conclusion This study highlights the heterogeneity in outcomes reported within clinical effectiveness studies of paediatric wrist fractures. We provided an overview of the types of outcomes reported in paediatric wrist fracture studies and identified a list of potentially relevant outcomes required for the development of a core outcome set.

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Developing a core outcome set for paediatric wrist fractures: a systematic review of prior outcomes

et al. 2020

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Traumatic Separation of the Distal Ulnar Physis in Children

Abstract: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cited by 3 publications

References 21 publications

Reconstruction using monorail fixator for forearm osteochondroma Masada type I and IIb: A case series

Reconstruction using monorail fixator for forearm osteochondroma Masada type I and IIb: A case series

Developing a core outcome set for paediatric wrist fractures: a systematic review of prior outcomes

Developing a core outcome set for paediatric wrist fractures: a systematic review of prior outcomes

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