Problems and complications of radial neck fractures in children

被引：0
|
作者：
Schneidmueller, Dorien [1 ,2 ]
Gutsfeld, Peter [1 ,2 ]
Woltmann, Alexander [1 ]
Marzi, Ingo [3 ]
Buehren, Volker [1 ,2 ]
机构：
[1] Berufsgenossenschaftliche Unfallklin Murnau, Abt Unfallchirurg Sportorthopadie & Kindertraumat, Murnau, Germany
[2] BG Unfallklinik Murnau, Klinikum Garm Partenkirchen, Abt Unfallchirurg Sportorthopadie & Kindertraumat, Murnau, Germany
[3] Goethe Univ Frankfurt, Klin Unfall Hand & Wiederherstellungschirurg, Klinikum Johann Wolfgang, Frankfurt, Germany
来源：
OBERE EXTREMITAET-SCHULTER-ELLENBOGEN-HAND-UPPER EXTREMITY-SHOULDER ELBOW HAND | 2015年 / 10卷 / 02期
关键词：
Fractures; dislocated; Pseudarthrosis; Growth disorders; Osteonecrosis; Synostosis;
D O I：
10.1007/s11678-014-0282-0
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Despite the relatively low growth potential of the proximal physis, radial neck fractures in children have a high rate of spontaneous growth correction. Therefore, mild to moderately dislocated fractures in young children have a good prognosis. Highly dislocated fractures can not be corrected by spontaneous growth alone and are therefore more problematic. Depending on the degree of dislocation and method of reduction and fix-ation a complication rate of up to 50 % can be expected, such as non-union, growth arrest, heterotopic ossifications, necrosis of the head or radioulnar synostosis. These risks can be reduced by a gentle and if possible closed reduction and internal fixation.
引用
收藏
页码：107 / 110
页数：4
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