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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2010, Number 1

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Rev Mex Ortop Ped 2010; 12 (1)

Estabilidad radiométrica en pacientes con fractura metafisaria distal de radio pura y asociada a fractura cubital distal, a las 2 semanas de tratamiento conservador en niños de 3 a los 17 años de edad

Ruiz-Osuna C, Cortés-Gómez J, Mora-Magaña I, Isunza-Ramírez A

Language: Spanish
References: 44
Page: 37-42
PDF size: 154.49 Kb.


ABSTRACT

Introduction: There is a treatment discrepancy on distal radial fractures pure and associated with distal ulnar fractures in children from 3 to 17 years of age, between conservative and surgical treatments. Material and method: Is a cohort, retrospective, prospective, longitudinal, comparative study. Studying 40 patients with distal metaphyseal fracture of pure radio and associated distal ulnar fracture, who attended the National Pediatrics Institute from March 2009, in two groups were performed wrist radiographs in anteroposterior and lateral to their arrival, post-handling and within 3 weeks of treatment, measuring 6 basic radiometric parameters, patients underwent closed reduction and immobilized with plaster braquipalmar apparatus for 6 weeks. The results were analyzed descriptive and inferential statistics (t Student and r Pearson). Results: Premanipulative: In both groups the observed radiometric direct proportion, group 2 had a significantly higher radial and ulnar variance amplitude Postmanipulation: Both groups had normal radiometric, in 2 weeks Group 2 had significantly greater number of residual deformities. Discussion: In distal radius fractures: radial extent is the radiometric prognosis for residual deformity, ulnar variance is the radiometric accurately assessing residual deformity, association of distal ulnar fracture affects radiographic stability on the wrist, associated distal ulnar fracture must be treated surgically. Level of evidence: V


REFERENCES

  1. Hipócrates. Genuine works. Translated by: F. Adams, London: Sydenham Society, 1849.

  2. Cruse TK. Essay on wrist joint injuries. Trans NY State Med Soc III 1874: 56-118.

  3. Sanson. Dictionnaire de Médecine et de Chirurgie Pratique. Paris: 1832.

  4. Colles A. On the fracture of the carpal extremity of the radius. Edinb Med Surg J 1814; 10: 182-186.

  5. Peltier LF. Fractures of the distal end of the radius: an historical account. Clin Orthop 1959; 187: 18-22.

  6. Pouteau C. Oeuvres posthumes de M Pouteau: mémoire,contenant quelques réflexions sur vuelques fractures de l’avant-bras sur les luxations incompletes du poignet et sur le diastasis. Paris: Ph-D Pierres, 1783.

  7. Desault PJ. A treatise on fractures and luxations. Philadelphia: 1817.

  8. Desault PJ. Oeuvres Chirurgicales ou Exposés de la Doctrine et la Pratique de PJ Desault par Xavier Bichat. Paris: Méguignon, 1801.

  9. Malgaigne J. A treatise on fractures. Translated by John Packard. Philadelphia: Lippincott, 1859.

  10. Goyrand G. Memoirs sur les fractures de l’extremite inferieure du radius qui simulent les luxations du poignet. Gaz Med 1832; 3: 664-667.

  11. Peltier LF. Fractures of the distal end of the radius: an historical account. Clin Orthop 1984; 187: 18-22.

  12. Muller ME, Nazarian S, Koch P. AO classification of fractures.Berlin: Springer-Verlag, 1987.

  13. Cooney WP III, Agee JM, Hastings H II. Symposium: management of intraarticular fractures of the distal radius. Contemp Orthop 1990; 21: 71-104.

  14. Fernández D. Fractures of the distal radius: operative treatment. AAOS Instruct Course Lect 1993; 42: 73-88.

  15. Gartland JJ, Werley CW. Evaluation of healed Coole’s fractures. J Bone Joint Surg Am 1951; 33: 895-907.

  16. Lidstrom A. Fractures of the distal end of the radius: a clinical and statistical study of end results. Acta Orthop Scand 1959; 30 (Suppl 41): 1-118.

  17. McMurtry RY, Jupiter JB. Fractures of the distal radius. In: Browner BD, Jupiter JB. Levine AM, Trafton PG (eds) Skeletal trauma. Philadelphia: Saunders, 1992: 1063-1094.

  18. Melone CP Jr. Articular fractures of the distal radius. Orthop Clin North Am 1984; 15: 217-236.

  19. Nissen-Lie HS. Fractura radii “typica”. Nord Med 1939; 1: 293-303.

  20. Older TM, Stabler EV, Cassebaum WH. Colles’s fracture: evaluation of selection of therapy. J Trauma 1965; 5: 469- 476.

  21. Sarmiento A, Pratt GW, Berry NC, Sinclair WF. Colle’s fracture: functional bracing in supination. J Bone Joint Surg Am 1975; 57: 311-317.

  22. Sarmiento A, Zagorski JB, Sinclair WF. Functional bracing of Colle’s fracture: a prospective study of immobilization in supination versus pronation. Clin Orthop 1980; 146: 175- 183.

  23. Jenkins NH. The unstable Colle’s fracture. J Hand Surg (Br) 1989; 14: 149-154.

  24. Solgaard S. Classification of distal radius fractures. Acta Orthop Scand 1984; 56: 249-252.

  25. Rayhack J. Symposium on distal radius fractures. Contemp Orthop 1990; 21: 75.

  26. Missakian ML, Cooney WP III, Amadio PC, Glidewell HL. Open reduction and internal fixation for distal radius fractures. J Hand Surg (Am) 1992; 17: 745-755.

  27. Muller ME et al. Comprehensive classification of fractures. Pamphlet 1, Bern: ME Muller Foundation, 1995: 1-24.

  28. Tsukazaki T, Iwasaki K. Ulnar wrist pain after Colle’s fracture: 109 fractures followed for 4 years. Acta Orthop Scand 1993; 64: 462-464.

  29. Af Ekenstam F, Hagert DG. Anatomical studies on the geometry and stability of the distal radioulnar joint. Scand J Plast Reconstr Surg 1985; 19: 17-25.

  30. Burgess RC, Watson HK. Hypertrophic ulnar styloi nonunions. Clin Orthop 1988; 228: 215-217.

  31. Butterbaugh GA, Palmer AK. Fracture and dislocations of the distal radioulnar joint. Hand Clin 1988; 4: 361-375.

  32. Chaise F, Friol JP, Gaisner E. Le poignet douloureaux postfracturaire. Ann Chir Main 1994; 48: 88-90.

  33. Drobner WS, Hausmann MR. The distal radioulnar joint. Hand Clin 1992; 8: 631-644.

  34. Stoffelen D, DeSmet L, Broos P. The importance of the distal radioulnar joint in distal radial fractures. J Hand Surg Br 1998; 23: 507-511.

  35. Tamura Y, Inoue G. Dislocations of the distal radioulnar joint association with an intraarticular fracture of the ulnar head: report of two cases. J Orthop Trauma 1998; 12: 68- 70.

  36. Friberg S, Lundstrom B. Radiographic measurements of the radio-carpal joint in normal adults. Acta Radiol Diagn 1989; 17: 249-256.

  37. Kappanji IA. Rotation. In: Phisiology of the joints of the upper limb. New York: Churchill-Livingstone, 1982: 98- 129.

  38. Palmer AK. Fractures of the distal radius. In: Green DP (ed) Operative and surgery. New York: Churchill-Livingstone, 1988: 991-1026.

  39. Werner FW, Palmer AK, Fortino MD, Short WH. Force transmission through the distal ulna: effect of ulnar variance, lunate fossa angulation, and radial and palmar tilt of the distal radius. J Hand Surg (Am) 1992; 17: 423-428.

  40. Roberts JA. Angulation of the radius in children’s fractures. J Bone Joint Surg (Br) 1986; 68: 751-754.

  41. Roy DR. Completely displaced distal radius fractures with intact ulnas in children. Orthopaedics 1989; 12: 1089- 1092.

  42. Trousdale RT, Linscheid RL. Operative treatment of malunited fractures of the forearm. J Bone Joint Surg Am 1995; 77 (6): 894-902.

  43. Nagy L, Jankauskas L, Dumont CE. Correction of forearm malunion guided by the preoperative complaint. Clin Orthop Relat Res 2008; 466: 1419-1428.

  44. Lindau T, Runnquist K, Aspenberg P. Patients with laxity of the distal radioulnar joint after distal radial fractures have impaired function, but no loss of strength. Acta Orthop Scand 2002; 73 (2): 151-156.




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