Palafox DLA, Martínez IS

Language: Spanish
References: 18
Page: 321-324
PDF size: 44.07 Kb.

ABSTRACT

It is a retrospective, transverse study, descriptive of patients smaller than 15 years with diaphysiary fractures of the third distal of the radius, without fracture of the ulna, gathering 31 fractures, that corresponded to 14% of the fractures of the radius of 117 fractures of the forearm, with an incidence of 2.3%. Most were of the masculine sex (71%), the average was of 10 years (6 to 15 years). The diagnosis in the urgencies service, only in a case it was specific of fracture of Galeazzi (3.2%). The treatment was closed with a brachypalmar plaster apparatus in 30 of the patients and only one required surgical treatment. The position of the immobilization with plaster was neutral in 22 (71%), supination in 2 (3.2%), and pronation in 6 (19.2%). The obtained reduction was adapted in 24 (77.4%), and inadequate in 7 (22%). (In 9 cases distal radioulnar subluxation was observed). The position in the cases with inadequate reduction, 33% was in pronation (18%). The failure in the diagnosis is reported in the literature, however the referred frequency is of 40%, which increased to 83.9% in our medium, and has repercussions in the result, since the persistence of the distal radioulnar subluxation is frequent for this lesion not being observed (9 cases 22.6%). It is probable that being diagnosed, it had been necessary the surgical treatment, likewise you can consider that the immobilization in pronation favors the persistence of the subluxation like it is reported in the literature, the sample is insufficient to establish conclusions.

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