Abstract：
Pediatric wrist injuries pose unique diagnostic challenges due to distinct bone characteristics in children and their diverse injury patterns. The dynamic development of the wrist, marked by changes in bone age and emerging ossification centers, is crucial to evaluate growth and identify potential pathologies. The skeletal composition, rich in cartilage, renders bones relatively weaker yet more elastic, impacting their susceptibility to fracture. Forearm fractures display diverse patterns influenced by torsional forces. Scaphoid fractures, less common in children, differ from those in adults. Conditions like Madelung\'s deformity and ulnar variance are more common wrist disorders in the pediatric population. In addition, the scarcity and nonspecificity of symptoms in those with tendon injuries and triangular fibrocartilage complex lesions can be diagnostically challenging. This article reviews pediatric wrist injuries, emphasizing ossification patterns, common fracture types, and developmental variants. Grasping these complexities in pediatric wrist development and associated pathologies is essential for precise diagnosis and treatment.
摘要：
由于儿童骨骼的独特特征及其不同的损伤模式，小儿腕关节损伤提出了独特的诊断挑战。动态发展的手腕，以骨龄和骨化中心出现的变化为标志，对于评估生长和识别潜在病理至关重要。骨骼组成，富含软骨，使骨骼相对更弱但更有弹性，影响他们对骨折的敏感性。前臂骨折显示受扭转力影响的不同模式。舟骨骨折,在儿童中不常见，不同于成年人。在儿科人群中，像Madelung的畸形和尺骨变异是更常见的腕关节疾病。此外,肌腱损伤和三角纤维软骨复合体病变患者的症状缺乏和非特异性可能在诊断上具有挑战性.本文回顾了小儿腕部损伤，强调骨化模式，常见骨折类型,和发育变体。掌握小儿腕部发育和相关病理中的这些复杂性对于精确诊断和治疗至关重要。
