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Distal radius fractures are common, [3] and are the most common type of fractures that are seen in children. [4] Distal radius fractures represent between 25% and 50% of all broken bones and occur most commonly in young males and older females. [3] [2] A year or two may be required for healing to occur. [1]
A Torus fracture, also known as a buckle fracture is the most common fracture in children. [1] It is a common occurrence following a fall, as the wrist absorbs most of the impact and compresses the bony cortex on one side and remains intact on the other, creating a bulging effect. [ 2 ]
Colles' fracture: Abraham Colles: distal radius fracture with dorsal angulation, impaction and radial drift: fall on outstretched hand: Colles' fracture at Whonamedit? Duverney fracture: Joseph Guichard Duverney: isolated fracture of the iliac wing: direct trauma "Duverney fracture". Medcyclopaedia. GE. Essex-Lopresti fracture: Peter Essex-Lopresti
The radial inclination of a distal radius fracture is shown in red in image at right. The angle is measured between: [4] [5] A line drawn between the distal ends of the articular surface of the radius on an AP view of the wrist. A line that is perpendicular to the diaphysis of the radius. Radial inclination is normally 21-25°. [6]
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. [2]
At this age, the relatively slower growth of the ulnar and palmar part of the radius, leads to an increasingly progressive deformity. Pain and deformity are the main symptoms patients present with. [1] Typical clinical presentation consists of a short forearm, anterior-ulnar bow of the radius and a forward subluxation of the hand on the forearm.
The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint.
A Smith's fracture, is a fracture of the distal radius. [1] Although it can also be caused by a direct blow to the dorsal forearm [2] or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. [3] Smith's fractures are less common than Colles ...