title: Atypical distal radial fractures in children.
abstract: In a prospective study of paediatric injuries secondary to the use of the non-motorized microscooter, we found a high rate of upper limb trauma, and a distinct injury associated with the scooter. The most common single injury was a fracture of the distal third of radius and ulna, characterized by volar angulation of the distal fragment. This injury, akin to the Smiths fracture in adults, was predictive of scooter use in all cases. This pattern of injury was not repeated by any another mechanism of injury during the course of the study period. The mechanism of injury, seemingly specific to the scooter, is produced by a fall while continuing to clutch the handlebars, leading to palmar flexion and pronation of the wrist as they strike the ground. Fourteen children required admission and manipulation under anaesthesia. Four of these patients subsequently needed remanipulation under anaesthesia. This study suggests that the scooter is associated with a forearm fracture which is both distinctive and unstable.
authors.affiliation: Our Lady's Hospital for Sick Children, Crumlin, Ireland, UK.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Kiely
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Kiely
authors.forename: Micheal M
authors.initials: MM
authors.lastname: Stephens
authors.forename: Frank E
authors.initials: FE
authors.lastname: Dowling
mesh_terms: D000293:Adolescent; D000554:Ambulatory Care Facilities; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D004204:Joint Dislocations / Q000453:epidemiology; D008297:Male; D010988:Play and Playthings / Q000293:injuries*; D011446:Prospective Studies; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy; D017695:Soft Tissue Injuries / Q000453:epidemiology; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy