Complications of Forearm and Wrist Region Fractures

ortopedi-16-2-2024-kapak-1

Tolga ONAYa , Nusret KÖSEb

aİstanbul Medeniyet University Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Department of Orthopedics and Traumatology, İstanbul, Türkiye
bEskişehir Osmangazi University Faculty of Medicine, Department of Orthopedics and Traumatology, Eskişehir, Türkiye

ABSTRACT
Forearm and wrist fractures in pediatric age group are common problems in daily orthopaedic practice. While excellent results can often be achieved with nonoperative treatment for most of these fractures, it’s important to recognize that it’s not always without risks. Early and late complications including compartment syndrome, neurological impairment, loss of reduction, malunion, premature physeal closure, deformity and synostosis may occur for both nonoperative and operative treatment following forearm and wrist fractures. These complications may negatively affect the patient, their family and the orthopaedic surgeon. Thus, it is crucial for orthopedic surgeons to diagnose and properly manage these complications.
Keywords: Forearm; wrist injuries; complications

Referanslar

  1. Schoenecker JG, Bae DS. Fractures of the distal radius and ulna. In: Skaggs DL, Flynn JM, Waters PM. Rockwood and Wilkins' Fractures in Children. 8th ed. Philadelphia, PA: Walters Kluwer; 2015. p.349-411.
  2. Caruso G, Caldari E, Sturla FD, Caldaria A, Re DL, Pagetti P, et al. Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature. Musculoskelet Surg. 2021;105(3):225-34. [Crossref]  [PubMed]  [PMC]
  3. Chia B, Kozin SH, Herman MJ, Safier S, Abzug JM. Complications of pediatric distal radius and forearm fractures. Instr Course Lect. 2015;64:499-507.
  4. Yuan PS, Pring ME, Gaynor TP, Mubarak SJ, Newton PO. Compartment syndrome following intramedullary fixation of pediatric forearm fractures. J Pediatr Orthop. 2004;24(4):370-5. [Crossref]  [PubMed]
  5. Noonan KJ, Mccarthy JJ. Compartment Syndrome in the Pediatric Patient. J Pediatr Orthop. 2010;30(2 Suppl):96:101. [Crossref]
  6. Bae DS, Kadiyala RK, Waters PM. Acute compartment syndrome in children: contemporary diagnosis, treatment, and outcome. J Pediatr Orthop. 2001;21(5):680-8. [Crossref]  [PubMed]
  7. Lin J, Samora WP, Samora JB. Acute compartment syndrome in pediatric patients: a case series. J Pediatr Orthop B. 2022;31(2):e236-e40. [Crossref]  [PubMed]
  8. Eberl R, Singer G, Schalamon J, Petnehazy T, Hoellwarth ME. Galeazzi lesions in children and adolescents: treatment and outcome. Clin Orthop Relat Res. 2008;466(7):1705-9. [Crossref]  [PubMed]  [PMC]
  9. Alemdaroğlu KB, Iltar S, Cimen O, Uysal M, Alagöz E, Atlihan D. Risk factors in redisplacement of distal radial fractures in children. J Bone Joint Surg Am. 2008;90(6):1224-30. [Crossref]  [PubMed]
  10. Subaşi İÖ, Alemdaroğlu KB, Arican G, Iltar S, Şibar K, Özmeriç A. Cast revision is effective for critical three-point index values in paediatric forearm fractures: a prospective study. J Pediatr Orthop B. 2022;31(5):457-64. [Crossref]  [PubMed]
  11. Roth KC, Denk K, Colaris JW, Jaarsma RL. Think twice before re-manipulating distal metaphyseal forearm fractures in children. Arch Orthop Trauma Surg. 2014;134(12):1699-707. [Crossref]  [PubMed]
  12. Daruwalla JS. A study of radioulnar movements following fractures of the forearm in children. Clin Orthop Relat Res. 1979;(139):114-20. [Crossref]
  13. Blackburn N, Ziv I, Rang M. Correction of the malunited forearm fracture. Clin Orthop Relat Res. 1984;(188):54-7. [Crossref]
  14. Bae DS, Waters PM. Pediatric distal radius fractures and triangular fibrocartilage complex injuries. Hand Clin. 2006;22(1):43-53. [Crossref]  [PubMed]
  15. Khoshhal KI, Kiefer GN. Physeal bridge resection. J Am Acad Orthop Surg. 2005;13(1):47-58. [Crossref]  [PubMed]
  16. Bhanushali A, Axelby E, Patel P, Abu-Assi R, Ong B, Graff C, et al. Re-fractures of the paediatric radius and/or ulna: A systematic review. ANZ J Surg. 2022;92(4):666-73. [Crossref]  [PubMed]
  17. Amilon S, Bergdahl C, Fridh E, Backteman T, Ekelund J, Wennergren D. How common are refractures in childhood? Bone Joint J. 2023;105-B(8):928-934. [Crossref]  [PubMed]
  18. Tisosky AJ, Werger MM, McPartland TG, Bowe JA. The Factors Influencing the Refracture of Pediatric Forearms. J Pediatr Orthop. 2015;35(7):677-81. [Crossref]  [PubMed]
  19. Schwarz N, Pienaar S, Schwarz AF, Jelen M, Styhler W, Mayr J. Refracture of the forearm in children. J Bone Joint Surg Br. 1996;78(5):740-4. [Crossref]  [PubMed]
  20. Gounot A, Simon AL, Dizin F, Chinnappa J, Mas V, Jehanno P. Post-traumatic Radioulnar Synostosis in Distal Forearm Fractures in Children: A Report of 2 Cases. JBJS Case Connect. 2022;12(1). [Crossref]  [PubMed]
  21. Vince KG, Miller JE. Cross-union complicating fracture of the forearm. Part II: Children. J Bone Joint Surg Am. 1987;69(5):654-61. [Crossref]  [PubMed]