Physeal Closure and Fracture Pattern in Adolescent Transitional Distal Radius Fractures.
J Pediatr Orthop
; 44(3): 147-150, 2024 Mar 01.
Article
en En
| MEDLINE
| ID: mdl-38088208
ABSTRACT
PURPOSE:
To show a correlation between grade of physeal closure and fracture pattern in adolescent transitional distal radius fractures.METHODS:
A retrospective chart review was performed of 490 distal radius fractures, ages 14 to 18, at a single institution between 2007 and 2020. A board-certified orthopaedic hand surgeon reviewed all images. Thirty-six distal-radius fractures were considered adolescent transitional fractures. The review included Salter-Harris classification, fracture fragments, and grade of physeal closure.RESULTS:
Distal radial physeal closure is 50 times more likely to be of a higher grade in the presence of Salter-Harris type IV fractures ( P <0.001). Closure of the physis is also 7.37 and 13.08 times more likely to be of higher grade in the absence of a dorsal metaphyseal fracture and in the presence of an ulnar corner fracture, respectively ( P =0.011 and 0.021).CONCLUSION:
Adolescent transitional fractures of the distal radius occur when the growth plate has a partial closure. The closure pattern of the distal radial physis begins centrally, with subsequent ulnar and then radial closure. In this cohort, there is a correlation between grade of physeal closure and fracture pattern in adolescent transitional distal radius fractures. LEVEL OF EVIDENCE Level IV-diagnostic.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas del Radio
/
Fracturas del Cúbito
/
Fracturas de Salter-Harris
/
Fracturas de la Muñeca
Límite:
Adolescent
/
Humans
Idioma:
En
Revista:
J Pediatr Orthop
Año:
2024
Tipo del documento:
Article