دورية أكاديمية
أعرض في EDS

Physeal Closure and Fracture Pattern in Adolescent Transitional Distal Radius Fractures.

التفاصيل البيبلوغرافية
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.)
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تواريخ الأحداث: Date Created: 20231213 Date Completed: 20240208 Latest Revision: 20240208
رمز التحديث: 20240208
DOI: 10.1097/BPO.0000000000002586
PMID: 38088208
قاعدة البيانات: MEDLINE
الوصف
تدمد:1539-2570
DOI:10.1097/BPO.0000000000002586