目的:前臂骨折是儿童最常见的长骨骨折。有许多报道称,由于下肢骨折的过度生长,腿部长度存在差异。然而,上肢骨折过度生长的报道很少见。目的探讨小儿桡骨骨折成角与过度生长的关系。我们假设骨折的角度变形会导致骨膜横切和更多的过度生长。
方法:回顾,2013年至2022年期间,14名16岁以下患者(平均年龄9.43岁;10名男孩,四名女孩)单侧桡骨干或干phy端骨折,无physeal损伤,至少随访12个月,包括在内。人口统计学因素进行了分析;年龄,性别,体重指数(BMI),右或左。我们评估了放射学参数;尺骨方差,干预前的角度,骨折间隙和治疗选择。患者接受保守或手术治疗。
结果:平均随访期为27.9个月(范围,13-53个月)。八名病人接受了石膏治疗,六名病人接受了手术治疗。未患侧和骨折侧的尺骨方差差异有统计学意义(P<0.001)。性,年龄,左或右,高度,体重,和BMI无统计学意义。手术医治组(P=0.013)和最年夜角度总和(P=0.017)有统计学意义。当最大角度(SMA)的总和为30°或更大时,尺骨方差有统计学意义,与SMA小于30°的情况相比。所有患者在最后一次门诊随访时评估的临床结果均良好。
结论:首先,这项研究表明,在桡骨轴或干phy端骨折的情况下,骨折的角度程度可能会影响桡骨的过度生长,没有physeal伤害。第二,这意味着过度生长的程度可能会随着手术治疗而增加,与保守治疗相反。
方法:四级,回顾性研究。
OBJECTIVE: Forearm fractures are the most frequent long bone fractures in children. There have been many reports of differences in leg length due to overgrowth in lower extremity fractures. However, reports of such overgrowth in fractures of the upper extremity are rare. The purpose of this study was to investigate the relationship between angulation and overgrowth in pediatric radius fractures. We hypothesized that more angular deformation of the fracture would result in a periosteal transection and more overgrowth.
METHODS: Retrospectively, between 2013 and 2022, 14 patients under 16 years of age (mean age 9.43 years; 10 boys, four girls) with unilateral radius shaft or metaphyseal fracture without physeal injury, and a minimum follow-up of 12 months, were included. Demographic factors were analyzed; age, sex, body mass index (BMI), right or left. We evaluated the radiologic parameters; ulnar variances, degree of angularity before intervention, fracture gap and treatment options. The patients underwent conservative or surgical treatment.
RESULTS: The mean follow-up period was 27.9 months (range, 13-53 months). Eight patients underwent cast treatment, and six patients underwent surgical treatment. The difference in ulnar variances between the unaffected side and fracture side were statistically significant (P < 0.001). Sex, age, left or right, height, weight, and BMI were not statistically significant. The surgical treatment group (P = 0.013) and the sum of the maximum angularity (P = 0.017) were statistically significant. When the sum of the maximum angularity(SMA) was 30° or more, the ulnar variances were statistically significant, compared with the case where the SMA was less than 30°. The clinical results evaluated at the last outpatient follow-up were good in all patients.
CONCLUSIONS: First, this study implies that the degree of angulation of the fracture may affect the overgrowth of the radius in case of radius shaft or metaphyseal fracture, without physeal injury. Second, it implies that the degree of overgrowth may increase with surgical treatment, as opposed to that with conservative treatment.
METHODS: Level IV, Retrospective study.