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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2013, Number 4

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Ortho-tips 2013; 9 (4)

Effect on growth in the ankle and wrist

Espinosa MF

Language: Spanish
References: 10
Page: 263-269
PDF size: 231.70 Kb.


ABSTRACT

Forearm fractures in children account for 40% of pediatric fractures; distal forearm region is the most common. Approximately 15% of these fractures involve the distal radial physis. In the distal tibia described that these injuries represent between 25 and 38% of all epiphyseal fractures. Both injuries are classified according to Salter-Harris system as it is the best way to understand the lesion and treatment, of this classification type III and IV lesions have an increased risk of developing premature closure of the physis. Is reported an incidence of 1 to 7% growth arrest of the distal radius and 2 to 14.1% in the distal tibia. Risk factors include: high energy injuries, repeated loading on the physis, multiple reduction attempts and delayed attempts of reduction. The growing involvement of the injured limb can show up to two years after the injury. The treatment is based on the size and growth arrest remaining physeal according to age. Resection of a bar is performed for missing further two years of growth and if less than 50% of the physis is affected. If less than two years of growth and affected more than 50% of the physis, consider making epiphysiodesis with or without the same operation in contralateral limb.


REFERENCES

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