title: [Distal radius fractures in children].
abstract: Metaphyseal and physeal fractures of the distal radius are common in children. Most cases are best treated with closed reduction and cast immobilization. Long-term outcomes of these injuries are excellent when specific treatment principles of reduction and casting are followed. Surgical indications are limited and include open fractures, intra-articular fractures, non-reducible fractures, unstable fractures, and the presence of associated nerve injury. Closed reduction and percutaneous pin fixation is the most commonly used surgical option. The clinician should be aware of delayed complications such as growth disturbance of the distal radius, and understand how to manage these problems to ensure successful long-term outcomes. Epiphysiodesis is uncommon but growth plate injuries need to be followed for one year.
authors.affiliation: Service de chirurgie orthopédique et réparatrice de l'enfant, hôpital Trousseau, université Pierre-et-Marie-Curie Paris 6, 26, rue du Dr-Arnold-Netter, 75012 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Otayek
authors.affiliation: Service de chirurgie orthopédique et réparatrice de l'enfant, hôpital Trousseau, université Pierre-et-Marie-Curie Paris 6, 26, rue du Dr-Arnold-Netter, 75012 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Ramanoudjame
authors.affiliation: Service de chirurgie orthopédique et réparatrice de l'enfant, hôpital Trousseau, université Pierre-et-Marie-Curie Paris 6, 26, rue du Dr-Arnold-Netter, 75012 Paris, France. Electronic address: franck.fitoussi@aphp.fr.
authors.forename: F
authors.initials: F
authors.lastname: Fitoussi
mesh_terms: D002648:Child; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery; D011885:Radius Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000072042:Salter-Harris Fractures / Q000175:diagnosis; D016896:Treatment Outcome
keywords: Distal radius; Enfant; Extrémité distale du radius; Fracture; Growth arrest; Pediatric; Épiphysiodèse