e-journal
Isolated Diaphyseal Fractures of the Radius in Skeletally Immature Patients
Abstract Diaphyseal radius fractures without associated
ulna fracture or radioulnar dislocation (isolated fracture of
the radius) are recognized in adults but are rarely described
in skeletally immature patients. A search of our database
(1974–2002) identified 17 pediatric patients that had an
isolated fracture of the radius. Among the 13 patients with
at least 1 year follow-up, ten were treated with manipulative
reduction and immobilization in an above elbow cast and
three had initial operative treatment with plate and screw
fixation. These 13 patients were evaluated for an average of
18 months (range, 12 to 45 months) after injury using the
system of Price and colleagues. The incidence of isolated
diaphyseal radius fractures in skeletally immature patients
was 0.56 per year in our database and represented 27% of
the 63 patients with a diaphyseal forearm fracture. All 13
patients, with at least 1 year follow-up, regained full elbow
flexion and extension and full forearm rotation. According
to the classification system of Price, all 13 patients (100%)
had an excellent result. As in adults, isolated radius
fractures seem to occur in children more frequently than
previously appreciated. Treatment of isolated radius fractures
in skeletally immature patients has a low complication
rate, and excellent functional outcomes are the rule.
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