Le fratture di avambraccio
- 67 Downloads
Fractures of the forearm
Fractures of the forearm in the growing skeleton in a common event, accounting for 10% of the overall fracture and at the third place for long bone fractures. Most of these fractures present a simple line. There are several classification but the most widely use is the anatomo-radiological one. The majority of the fracture require closed reduction and immobilization in a long arm cast, with the elbow flexed at 90°, since residual defect that can occur are well tolerate. Under the age of nine angulation deformities lesser than 15° have the possibility to remodell completely. Over the age of nine the toleration is lower than 10°. The time of immobilization has to be at least of 8 weeks, in order to reduce the high risk of refracture. The surgical management of these fracture must to be reserved in case of unstable fractures or impossibility to gain good reduction by closed means. The best surgical solution nowadays is stabilization with elastic stable intramedullary nail. Open reduction and plate osteosynthesis must to be reserved for late adolescent, very near to skeletal maturity. External fixation has limited indication, expecially in politrauma and very high grade of open fractures.
Gli autori Antonio Berizzi, Andrea Angelini, Elisa Pala, Carlo Biz, Giulia Trovarelli e Pietro Ruggieri dichiarano di non avere alcun conflitto di interesse riguardo all’argomento trattato.
- 1.Price CT, Mencio GA (2001) Injuries to the shafts of the radius and ulna. In: Beaty JH, Kasser JR (eds) Rockwood and Wilkins’ fractures in children, 5th edn. Lippincott Williams & Wilkins, Philadelphi, pp 452–460 Google Scholar
- 6.Sarmiento A, Ebramzadeh E, Brys D (1992) Angular deformities and forearm function. J Pediatr Orthop 10:121–133 Google Scholar
- 7.Johari AN, Sinha M (1999) Remodelling of forearm fractures in children. J Pediatr Orthop B 8:84–87 Google Scholar
- 8.Weiss JM (1986) Forearm fractures in children: a retrospective study. Meetings Highlights. J Pediatr Orthop 6:506 Google Scholar
- 20.Fiala M, Carey TP (1995) Paediatric forearm fractures: an analysis of refracture rate. Orthop Trans 18:1265–1266 Google Scholar