Paediatric Trauma: Distal radial & Forearm fractures Flashcards
what types of fractures tend to occur in the distal radius of children
buckle fractures, greenstick fractures, Salter-Harris II
how are buckle fractures of the distal radius treated
they are stable and only require 3-4 weeks of splintage
what management may be required for angulated or deformed greenstick fractures
angulation may require manipulation, or casting if significant deformity
(particularly in older children)
where do Salter-Harris II fractures commonly occur
at the distal radius physis of older children
when would manipulation be required for a Salter-Harris II fracture
if there is angulation and deformity
what can happen with complete fractures of the distal radius in children
may displace as well as angulate, with dorsal displacement and angulation more common than volar
what types of fractures can occur in the forearm of children
Monteggia and Galeazzi fracture-dislocations can occur in children, also fracture of both bones of the forearm
what is typically used to treat Monteggia and Galeazzi fractures in children
anatomic reduction and rigid fixation with plates and screws
goes against usual child fracture treatment
what complications have a high incidence if only cast and manipulation used for Monteggia and Galeazzi fractures
re-dislocation of radial head or distal radio-ulnar joint(DRUJ)
