Ipsilateral proximal and distal forearm fracture/fracture dislocation in children.
Fifteen children with segmental forearm fractures were classified into two groups based on their proximal injury pattern. Proximal injury in group A was either Monteggia fractures or its variant and in group B it was diaphyseal fractures. The distal lesions in both these groups were either a metaphyseal fracture or an epiphyseal separation, or a combination of these two. Eleven children of group A were managed conservatively, whereas three of four children in group B required open reduction. After 2.67 years of follow-up in 13 children, clinical outcome based on modified Boyd and Boal's criteria was good in eight and fair in two children of group A, and good in two children and fair in one child of group B. The clinical outcome of pediatric segmental forearm fractures is good (P=0.05) and it may frequently need surgical intervention when the proximal fracture is diaphyseal.
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. senrameshpgi@yahoo.in
Ramesh Kumar
RK
Sen
Sujit Kumar
SK
Tripathy
Senthil
S
Kumar
Sameer
S
Aggarwal
Tajir
T
Tamuk
D017760:Bone Malalignment / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D018483:Diaphyses / Q000293:injuries; D005260:Female; D005543:Forearm Injuries / Q000628:therapy*; D005592:Fracture Fixation / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D004204:Joint Dislocations; D008297:Male; D011885:Radius Fractures / Q000628:therapy*; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000628:therapy*