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Stable type 2 radial head fractures may be treated as a type 1 if the displacement is minimal. Unstable type 2 - 4 fractures generally warrant surgery. Surgical correction can include fracture fragment excision, radial head reconstruction, open reduction and internal fixation, and radial head excision with artificial replacement. [6]
Complications of ORIF surgery for Monteggia fractures can include non-union, malunion, nerve palsy and damage, muscle damage, arthritis, tendonitis, infection, stiffness and loss of range of motion, compartment syndrome, audible popping or snapping, deformity, and chronic pain associated with surgical hardware such as pins, screws, and plates.
comminuted radial head fracture with interosseous membrane disruption and distal radioulnar joint subluxation: fall from height: Essex Lopresti fracture at Wheeless' Textbook of Orthopaedics online Galeazzi fracture: Ricardo Galeazzi: radius shaft fracture with dislocation of distal radioulnar joint: blow to forearm: Galeazzi fracture at ...
Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. These are as follows – Immediate complications – occurs at the time of the fracture. Early complications – occurring in the initial few days after the fracture. Late complications – occurring a long time after the fracture.
A child bone fracture or a pediatric fracture is a medical condition in which a bone of a child (a person younger than the age of 18) is cracked or broken. [1] About 15% of all injuries in children are fracture injuries. [2] Bone fractures in children are different from adult bone fractures because a child's bones are still growing. Also, more ...
Distal radius fractures are the most common fractures seen in adults and children. [4] Distal radius fractures account for 18% of all adult fractures with an approximate rate of 23.6 to 25.8 per 100,000 per year. [25] For children, both boys and girls have a similar incidence of these types of fractures, however the peak ages differ slightly.
The distal attachment of the annular ligament covering the radial head is weaker in children than in adults, allowing it to be more easily torn. The older child will usually point to the dorsal aspect of the proximal forearm when asked where it hurts. This may mislead one to suspect a buckle fracture of the proximal radius. [7]
The Hume fracture is an injury of the elbow comprising a fracture of the olecranon with an associated anterior dislocation of the radial head which occurs in children. It was originally described as an undisplaced olecranon fracture, [ 1 ] but more recently includes displaced fractures and can be considered a variant of the Monteggia fracture .