[Avulsion fractures of the distal part of the radius with anterior displacement in children]. / Les décollements--fractures de l'extrémité inférieure du radius à déplacement antérieur chez l'enfant.

ABSTRACT

The authors report 7 cases of fractures of the distal part of the radius, with a frontal displacement with children. This fracture is rare in pediatric traumatology. There is no particular type of mechanism that will provoke that fracture; in five cases the child was falling down on the palm of his hand and in two cases in a forced flexion. The problem about this fracture is the stability of the reduction. A proper function of the wrist is impossible with an imperfect result. The orthopedic treatment is often unable to stabilize the fracture. The authors need a surgical management using a plate type "Kerboull", put on the front part of the radius. They do not put the screws on the distal part of the plate to protect the epiphyseal plate. In only one case, they use Kirschner wires. The plates have been taken off one year later. The results are in all cases very good both functionally and anatomically.