دورية أكاديمية
Physeal Closure and Fracture Pattern in Adolescent Transitional Distal Radius Fractures.
العنوان: | Physeal Closure and Fracture Pattern in Adolescent Transitional Distal Radius Fractures. |
---|---|
المؤلفون: | Strauss G; Department of Orthopaedics, UT Health San Antonio, San Antonio, TX., Brennan J, Momtaz D, Ghali A, Landrum M, Rose R |
المصدر: | Journal of pediatric orthopedics [J Pediatr Orthop] 2024 Mar 01; Vol. 44 (3), pp. 147-150. Date of Electronic Publication: 2023 Dec 13. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8109053 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1539-2570 (Electronic) Linking ISSN: 02716798 NLM ISO Abbreviation: J Pediatr Orthop Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2000- : Philadelphia : Lippincott Williams & Wilkins Original Publication: New York Ny : Raven Press |
مواضيع طبية MeSH: | Wrist Fractures* , Ulna Fractures*/diagnostic imaging , Radius Fractures*/surgery , Salter-Harris Fractures*, Humans ; Adolescent ; Growth Plate ; Retrospective Studies ; Radiography ; Radius |
مستخلص: | 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. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
References: | Ryu SM, Park JW, Kim SD, et al. Is an operation always needed for pediatric triplane fractures? Preliminary results. J Pediatr Orthop B. 2018;27:412–418. Johnson EW, Fahl JC. Fractures involving the distal epiphysis of the tibia and fibula in children. Am J Surg. 1957;93:778–781. Lynn MD. The triplane distal tibial epiphyseal fracture. Clin Orthop Relat Res. 1972;86:187–190. Schnetzler KA, Hoernschemeyer D. The pediatric triplane ankle fracture. J Am Acad Orthop Surg. 2007;15:738–747. Peterson HA. Triplane fracture of the distal humeral epiphysis. J Pediatr Orthop. 1983;3:81–84. Masquijo JJ, Allende V. Triplane fracture of the distal femur: a case report. J Pediatr Orthop. 2011;31:e60–e63. Chin KR, Jupiter JB. Treatment of triplane fractures of the head of the proximal phalanx. J Hand Surg [Am]. 1999;24:1263–1268. Garcia Mata S, Hidalgo Ovejero A, Martinez Grande M. Triplane fractures in the hand. Am J Orthop (Belle Mead NJ). 1999;28:125–127. Golshteyn G, Katsman A. Pediatric trauma. Clin Podiatr Med Surg. 2022;39:57–71. Mizuta T, Benson WM, Foster BK, et al. Statistical analysis of the incidence of physeal injuries. J Pediatr Orthop. 1987;7:518–523. Kallini JR, Fu EC, Shah AS, et al. Growth disturbance following intra-articular distal radius fractures in the skeletally immature patient. J Pediatr Orthop. 2020;40:e910–e915. Abzug JM, Little K, Kozin SH. Physeal arrest of the distal radius. J Am Acad Orthop Surg. 2014;22:381–389. Rauer T, Pape HC, Gamble JG, et al. Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review. Eur J Med Res. 2020;25:21. doi:10.1186/s40001-020-00419-0. (PMID: 10.1186/s40001-020-00419-0) Cepela DJ, Tartaglione JP, Dooley TP, et al. Classifications in brief: Salter-Harris Classification of Pediatric Physeal Fractures. Clin Orthop Relat Res. 2016;474:2531–2537. Medoff RJ. Essential radiographic evaluation for distal radius fractures. Hand Clin. 2005;21:279–288. Bae DS. Pediatric distal radius and forearm fractures. J Hand Surg Br. 2008;33:1911–1923. Kraus R, Reyers J, Alt V, et al. Physiological closure of the physeal plate of the distal radius: an MRI analysis. Clin Anat. 2011;24:1010–1015. Ecklund K, Jaramillo D. Patterns of premature physeal arrest. Am J Roentgenol. 2002;178:967–972. Parkar A, Marya S, Auplish S. Distal radius triplane fracture. Ann R Coll Surg Engl. 2014;96:e6–e7. DiFiori JP, Caine DJ, Malina RM. Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med. 2006;34:840–849. |
تواريخ الأحداث: | Date Created: 20231213 Date Completed: 20240208 Latest Revision: 20240208 |
رمز التحديث: | 20240208 |
DOI: | 10.1097/BPO.0000000000002586 |
PMID: | 38088208 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1539-2570 |
---|---|
DOI: | 10.1097/BPO.0000000000002586 |