- Treatment in Children:
- frx is usually displaced dorsally and shortened in bayonette position;
- due to the significant force needed for reduction, consider GEA;
- closed reduction w/ longitudinal traction, & correction of radial angulation;
- difficult reduction may be due to entrapment of pronator quadratus over the proximal fragment;
- in some cases, anatomic reduction may not be possible with simple closed reduction;
- although in the past, bayonet position was accepted in children younger than 8 years, this is no longer the standard of care;
- in this situation, the child should receive general anesthesia and undergo repeated closed reduction;
- if closed reduction is still not possible, then insert a 1 mm K wire percutaneously into fracture site and use it "lever" the fracture into a reduced position;
- w/ radius out to length the distal RU joint is reduced and held in full supination in a long arm cast for 6 weeks;
- in child over 12 yrs, if reduction is not acceptable, then treatment is ORIF of radius w/ 4 hole plate & closed reduction of distal RU joint
Variant of Galeazzi fracture-dislocation in children.
- frx is usually displaced dorsally and shortened in bayonette position;
- due to the significant force needed for reduction, consider GEA;
- closed reduction w/ longitudinal traction, & correction of radial angulation;
- difficult reduction may be due to entrapment of pronator quadratus over the proximal fragment;
- in some cases, anatomic reduction may not be possible with simple closed reduction;
- although in the past, bayonet position was accepted in children younger than 8 years, this is no longer the standard of care;
- in this situation, the child should receive general anesthesia and undergo repeated closed reduction;
- if closed reduction is still not possible, then insert a 1 mm K wire percutaneously into fracture site and use it "lever" the fracture into a reduced position;
- w/ radius out to length the distal RU joint is reduced and held in full supination in a long arm cast for 6 weeks;
- in child over 12 yrs, if reduction is not acceptable, then treatment is ORIF of radius w/ 4 hole plate & closed reduction of distal RU joint
Variant of Galeazzi fracture-dislocation in children.
Galeazzi-equivalent injuries of the wrist in children.
Galeazzi fractures in children.
Variant of Galeazzi fracture-dislocation in children.
Angular remodeling of midshaft forearm fractures in children.
Forearm fractures in children. Cast treatment with the elbow extended.
The Management of Isolated Distal Radius Fractures in Children.