J Korean Fract Soc.  2012 Oct;25(4):335-341. 10.12671/jkfs.2012.25.4.335.

Surgical Treatment of Both Forearm Bone Fracture

Affiliations
  • 1Department of Orthopedic Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.
  • 2Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. pedhkim@yuhs.ac

Abstract

No abstract available.


MeSH Terms

Forearm
Fractures, Bone

Figure

  • Fig. 1 (A) The posterior-anterior view of the forearm shows the anatomic landmarks that can be used to assess the rotation of the radius. In this position, the bicipital tuberosity is pointed in the opposite direction from the radial styloid. (B) The lateral view demonstrates the landmarks that can help determine the rotation of the ulna. The coronoid process is in profile, pointing toward the radius and opposite the direction of the ulnar styloid.

  • Fig. 2 (A) Initial posterior-anterior (PA) and lateral radiograph of an 8-year-old girl with a forearm fracture. (B) PA and lateral radiograph 6 weeks after closed reduction and casting. The fracture has maintained an acceptable alignment.

  • Fig. 3 (A) Initial posterior-anterior (PA) and lateral radiograph of a 13-year-old girl with a forearm fracture. (B) PA and lateral radiograph 6 months following intramedullary nailing.

  • Fig. 4 (A) Initial radiograph of a 15-year-old boy with a closed fracture of both forearm bones. (B) Open reduction and internal fixation was performed using 3.5 mm plates.

  • Fig. 5 (A) Initial radiograph of a 12-year-old boy with a closed fracture of both forearm bones. (B) Intramedullary nailing was performed. (C) Two months later the ulnar side nail was removed due to a skin problem. (D) Refracture after a minor fall happened at 5 months from the initial operation. (E) Intramedullary nailing for refracture. (F) Union was achieved.


Reference

1. Arunachalam VS, Griffiths JC. Fracture recurrence in children. Injury. 1975. 7:37–40.
Article
2. Bauer G, Arand M, Mutschler W. Post-traumatic radioulnar synostosis after forearm fracture osteosynthesis. Arch Orthop Trauma Surg. 1991. 110:142–145.
Article
3. Bellemans M, Lamoureux J. Indications for immediate percutaneous intramedullary nailing of complete diaphyseal forearm shaft fractures in children. Acta Orthop Belg. 1995. 61:Suppl 1. 169–172.
4. Bhaskar AR, Roberts JA. Treatment of unstable fractures of the forearm in children. Is plating of a single bone adequate? J Bone Joint Surg Br. 2001. 83:253–258.
5. Carey PJ, Alburger PD, Betz RR, Clancy M, Steel HH. Both-bone forearm fractures in children. Orthopedics. 1992. 15:1015–1019.
Article
6. Chess DG, Hyndman JC, Leahey JL, Brown DC, Sinclair AM. Short arm plaster cast for distal pediatric forearm fractures. J Pediatr Orthop. 1994. 14:211–213.
Article
7. Crawford AH. Pitfalls and complications of fractures of the distal radius and ulna in childhood. Hand Clin. 1988. 4:403–413.
Article
8. Creasman C, Zaleske DJ, Ehrlich MG. Analyzing forearm fractures in children. The more subtle signs of impending problems. Clin Orthop Relat Res. 1984. (188):40–53.
9. Crenshaw AH, Zinar DM, Pickering RM. Intramedullary nailing of forearm fractures. Instr Course Lect. 2002. 51:279–289.
10. Cullen MC, Roy DR, Giza E, Crawford AH. Complications of intramedullary fixation of pediatric forearm fractures. J Pediatr Orthop. 1998. 18:14–21.
Article
11. Daruwalla JS. A study of radioulnar movements following fractures of the forearm in children. Clin Orthop Relat Res. 1979. (139):114–120.
Article
12. Davis DR, Green DP. Forearm fractures in children: pitfalls and complications. Clin Orthop Relat Res. 1976. (120):172–183.
13. Deluca PA, Lindsey RW, Ruwe PA. Refracture of bones of the forearm after the removal of compression plates. J Bone Joint Surg Am. 1988. 70:1372–1376.
Article
14. Flynn JM. Pediatric forearm fractures: decision making, surgical techniques, and complications. Instr Course Lect. 2002. 51:355–360.
15. Flynn JM, Waters PM. Single-bone fixation of both-bone forearm fractures. J Pediatr Orthop. 1996. 16:655–659.
Article
16. Greenbaum B, Zionts LE, Ebramzadeh E. Open fractures of the forearm in children. J Orthop Trauma. 2001. 15:111–118.
Article
17. Haasbeek JF, Cole WG. Open fractures of the arm in children. J Bone Joint Surg Br. 1995. 77:576–581.
Article
18. Holdsworth BJ, Sloan JP. Proximal forearm fractures in children: residual disability. Injury. 1982. 14:174–179.
Article
19. Kay S, Smith C, Oppenheim WL. Both-bone midshaft forearm fractures in children. J Pediatr Orthop. 1986. 6:306–310.
Article
20. Kramhøft M, Solgaard S. Displaced diaphyseal forearm fractures in children: classification and evaluation of the early radiographic prognosis. J Pediatr Orthop. 1989. 9:586–589.
21. Litton LO, Adler F. Refracture of the forearm in children: a frequent complication. J Trauma. 1963. 3:41–51.
22. Luhmann SJ, Schootman M, Schoenecker PL, Dobbs MB, Gordon JE. Complications and outcomes of open pediatric forearm fractures. J Pediatr Orthop. 2004. 24:1–6.
Article
23. Metaizeau JP, Ligier JN. Surgical treatment of fractures of the long bones in children. Interference between osteosynthesis and the physiological processes of consolidation. Therapeutic indications. J Chir (Paris). 1984. 121:527–537.
24. Nielsen AB, Simonsen O. Displaced forearm fractures in children treated with AO plates. Injury. 1984. 15:393–396.
Article
25. Noonan KJ, Price CT. Forearm and distal radius fractures in children. J Am Acad Orthop Surg. 1998. 6:146–156.
Article
26. Ogonda L, Wong-Chung J, Wray R, Canavan B. Delayed union and non-union of the ulna following intramedullary nailing in children. J Pediatr Orthop B. 2004. 13:330–333.
Article
27. Ortega R, Loder RT, Louis DS. Open reduction and internal fixation of forearm fractures in children. J Pediatr Orthop. 1996. 16:651–654.
Article
28. Prevot J, Lascombes P, Guichet JM. Elastic stable intramedullary nailing for forearm fractures in children and adolescents. Orthop Trans. 1995. 20:30.
29. Price CT. Surgical management of forearm and distal radius fractures in children and adolescents. Instr Course Lect. 2008. 57:509–514.
30. Price CT, Scott DS, Kurzner ME, Flynn JC. Malunited forearm fractures in children. J Pediatr Orthop. 1990. 10:705–712.
Article
31. Richter D, Ostermann PA, Ekkernkamp A, Muhr G, Hahn MP. Elastic intramedullary nailing: a minimally invasive concept in the treatment of unstable forearm fractures in children. J Pediatr Orthop. 1998. 18:457–461.
Article
32. Rodríguez-Merchán EC. Pediatric fractures of the forearm. Clin Orthop Relat Res. 2005. (432):65–72.
Article
33. Schwarz N, Pienaar S, Schwarz AF, Jelen M, Styhler W, Mayr J. Refracture of the forearm in children. J Bone Joint Surg Br. 1996. 78:740–744.
Article
34. Vainionpää S, Böstman O, Pätiälä H, Rokkanen P. Internal fixation of forearm fractures in children. Acta Orthop Scand. 1987. 58:121–123.
Article
35. Van der Reis WL, Otsuka NY, Moroz P, Mah J. Intramedullary nailing versus plate fixation for unstable forearm fractures in children. J Pediatr Orthop. 1998. 18:9–13.
Article
36. Vince KG, Miller JE. Cross-union complicating fracture of the forearm. Part II: children. J Bone Joint Surg Am. 1987. 69:654–661.
37. Voto SJ, Weiner DS, Leighley B. Use of pins and plaster in the treatment of unstable pediatric forearm fractures. J Pediatr Orthop. 1990. 10:85–89.
Article
38. Wyrsch B, Mencio GA, Green NE. Open reduction and internal fixation of pediatric forearm fractures. J Pediatr Orthop. 1996. 16:644–650.
Article
39. Younger AS, Tredwell SJ, Mackenzie WG. Factors affecting fracture position at cast removal after pediatric forearm fracture. J Pediatr Orthop. 1997. 17:332–336.
Article
40. Yung SH, Lam CY, Choi KY, Ng KW, Maffulli N, Cheng JC. Percutaneous intramedullary Kirschner wiring for displaced diaphyseal forearm fractures in children. J Bone Joint Surg Br. 1998. 80:91–94.
Article
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