Abstract：
Studies on functional recovery after pediatric forearm fractures are scarce. Outcome measures are usually (retrospectively) incorporated to compare treatments. How these parameters recover has only rarely fallen within the scope. Aim was to provide insight into \"normal recovery\" by evaluating how limitations, post-traumatic symptoms, range of motion (ROM) and dexterity recuperate.
Prospective observational study regarding children 4 and 18 years with a reduced forearm fracture. Limitations, post-traumatic symptoms, ROM, and dexterity were evaluated 6 weeks, 3 and 6 months post-trauma. ROM of the unaffected side was used as a baseline.
Of 54 participants 25.9% and 5.9% perceived limitations after 3 respectively 6 months. Pain, swelling and hypertrichosis were common symptoms. Movements distal from the elbow were restrained 6 weeks post-trauma. Supination and palmar flexion were most affected, followed by dorsal flexion and pronation. Palmar flexion and pronation were still affected after 3 months and associated with treatment invasiveness. Dexterity was diminished at 6 weeks only.
Mild limitations are common. Further investigation of the association between pain, reduced sensitivity and hypertrichosis with treatment invasiveness is warranted. Regarding ROM supination, pronation, palmar and dorsal flexion should be incorporated in future studies. Dexterity is an unsuitable outcome measure.IMPLICATIONS FOR REHABILITATIONThis study relates to monitoring recovery from pediatric forearm fractures.Physicians ought to realize that one in four children experience limitations preceding 3 months post-trauma, in which case involvement of a hand therapist should be considered.Pain, swelling and especially hypertrichosis are common post-traumatic symptoms in children and should on itself not immediately raise concerns for complex regional pain syndrome (CRPS).To assess recovery of range of motion measuring pronation, supination, dorsal, and palmar flexion is sufficient.
Prospective observational study regarding children 4 and 18 years with a reduced forearm fracture. Limitations, post-traumatic symptoms, ROM, and dexterity were evaluated 6 weeks, 3 and 6 months post-trauma. ROM of the unaffected side was used as a baseline.
Of 54 participants 25.9% and 5.9% perceived limitations after 3 respectively 6 months. Pain, swelling and hypertrichosis were common symptoms. Movements distal from the elbow were restrained 6 weeks post-trauma. Supination and palmar flexion were most affected, followed by dorsal flexion and pronation. Palmar flexion and pronation were still affected after 3 months and associated with treatment invasiveness. Dexterity was diminished at 6 weeks only.
Mild limitations are common. Further investigation of the association between pain, reduced sensitivity and hypertrichosis with treatment invasiveness is warranted. Regarding ROM supination, pronation, palmar and dorsal flexion should be incorporated in future studies. Dexterity is an unsuitable outcome measure.IMPLICATIONS FOR REHABILITATIONThis study relates to monitoring recovery from pediatric forearm fractures.Physicians ought to realize that one in four children experience limitations preceding 3 months post-trauma, in which case involvement of a hand therapist should be considered.Pain, swelling and especially hypertrichosis are common post-traumatic symptoms in children and should on itself not immediately raise concerns for complex regional pain syndrome (CRPS).To assess recovery of range of motion measuring pronation, supination, dorsal, and palmar flexion is sufficient.
摘要：
未经授权：关于小儿前臂骨折后功能恢复的研究很少。通常（回顾性）纳入结果指标以比较治疗方法。这些参数如何恢复很少属于范围。目的是通过评估限制，提供对“正常恢复”的洞察，创伤后症状,运动范围（ROM）和灵巧恢复。
UNASSIGNED：关于前臂骨折减少的4岁和18岁儿童的前瞻性观察性研究。局限性,创伤后症状,ROM,和灵活性进行了评估6周，创伤后3个月和6个月。未受影响侧的ROM用作基线。
UNASSIGNED：54名参与者分别在3个月和6个月后感知到局限性的25.9％和5.9％。疼痛,肿胀和多毛是常见症状。创伤后6周，肘部远端运动受到限制。仰卧位和手掌屈曲受影响最大，其次是背屈和内旋。3个月后，掌屈和内旋仍然受到影响，并与治疗侵袭性有关。仅在6周时，灵活性降低。
UNASSIGNED：轻度限制是常见的。进一步调查疼痛之间的关联，有必要降低敏感性和治疗侵袭性的多毛症。关于ROM旋光，内旋,手掌和背屈应该纳入未来的研究。灵巧是一种不合适的结果衡量标准。康复的意义本研究涉及监测小儿前臂骨折的康复情况。医生应该意识到，四分之一的儿童在创伤后3个月前经历过局限性，在这种情况下，应考虑手治疗师的参与。疼痛,肿胀,尤其是多毛症是儿童创伤后常见症状,本身不应立即引起对复杂区域疼痛综合征(CRPS)的关注.为了评估测量内旋的运动范围的恢复，仰卧起坐,背侧,手掌屈曲就足够了。
UNASSIGNED：关于前臂骨折减少的4岁和18岁儿童的前瞻性观察性研究。局限性,创伤后症状,ROM,和灵活性进行了评估6周，创伤后3个月和6个月。未受影响侧的ROM用作基线。
UNASSIGNED：54名参与者分别在3个月和6个月后感知到局限性的25.9％和5.9％。疼痛,肿胀和多毛是常见症状。创伤后6周，肘部远端运动受到限制。仰卧位和手掌屈曲受影响最大，其次是背屈和内旋。3个月后，掌屈和内旋仍然受到影响，并与治疗侵袭性有关。仅在6周时，灵活性降低。
UNASSIGNED：轻度限制是常见的。进一步调查疼痛之间的关联，有必要降低敏感性和治疗侵袭性的多毛症。关于ROM旋光，内旋,手掌和背屈应该纳入未来的研究。灵巧是一种不合适的结果衡量标准。康复的意义本研究涉及监测小儿前臂骨折的康复情况。医生应该意识到，四分之一的儿童在创伤后3个月前经历过局限性，在这种情况下，应考虑手治疗师的参与。疼痛,肿胀,尤其是多毛症是儿童创伤后常见症状,本身不应立即引起对复杂区域疼痛综合征(CRPS)的关注.为了评估测量内旋的运动范围的恢复，仰卧起坐,背侧,手掌屈曲就足够了。
