Article
Medicine, General & Internal
Peter J. Snelling, Philip Jones, David Bade, Randy Bindra, Joshua Byrnes, Michelle Davison, Shane George, Mark Moore, Gerben Keijzers, Robert S. Ware
Summary: In children and adolescents with distal forearm injuries, ultrasound is as effective as radiography in assessing the physical function of the arm at 4 weeks.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Letter
Medicine, General & Internal
Xiong-Tao Li, Xian-Tao Shen
Summary: This study evaluated the use of ultrasonography in forearm fractures in children and adolescents and found that ultrasonography can easily detect epiphyseal damage, which cannot be done with radiography. The authors aimed to show that initial imaging with ultrasonography is as good as radiography and has an impact on the subsequent physical function of the arm. However, in general, even fractures with imperfect alignment had similar subsequent effects to radiography.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Orthopedics
Michael Nolte, Timothy Luchetti, Daniel Bohl, Monica Kogan
Summary: Achieving an adequate cast mold is critical for successful nonoperative management of pediatric forearm fractures. Waterproof cast liners offer improved patient satisfaction compared to traditional cotton liners. However, they may have different mechanical properties.
ACTA ORTHOPAEDICA BELGICA
(2022)
Article
Emergency Medicine
Kristene M. Rimbaldo, Emmanuelle Fauteux-Lamarre, Franz E. Babl, Carrie Kollias, Sandy M. Hopper
Summary: This retrospective study examined children presenting to the emergency department of a tertiary care children's hospital with closed distal and midshaft forearm fractures requiring reduction. It found that emergency physicians successfully reduced the majority of fractures, with distal greenstick fractures most amenable to successful reduction within the emergency department.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Orthopedics
Michelle Seiler, Peter Heinz, Alessia Callegari, Thomas Dreher, Georg Staubli, Christoph Aufdenblatten
Summary: The study found that short-arm fiberglass cast provides fracture stabilization comparable to long-arm cast in pediatric patients with reduced distal forearm fractures. It also reduces the need for assistance during showering.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Surgery
Sung Tan Cho, Jin Hwan Kim, Sung San Lee, Yong Jae Lee, Hyun Il Lee
Summary: This study aimed to investigate whether forearm bone mineral density (BMD) can be used as a predictor of reduction loss in distal radius fractures treated with cast immobilization. The results showed that there was no significant correlation between forearm BMD and reduction loss, and initial dorsal comminution and ulnar variance were identified as the main risk factors.
FRONTIERS IN SURGERY
(2022)
Article
Pediatrics
Chao Gao, Jing Hua Sun, Hua Jiang Zheng, Yong Yao Wu, Jin Cao
Summary: Monteggia fracture, a combination of ulnar fracture and radial head dislocation, primarily occurs in children and adolescents. This case report presents a 9-year-old boy diagnosed with Monteggia fracture type III combined with a distal forearm fracture. After undergoing surgery and rehabilitation training, the patient achieved good functional recovery with no signs of radial head dislocation.
FRONTIERS IN PEDIATRICS
(2022)
Article
Orthopedics
Sara Jo Solasz, Ariana Lott, Abhishek Ganta, Sanjit R. Konda
Summary: This is a case of a 12-year-old boy with a displaced radial and ulnar shaft fracture. Traditionally, these fractures were treated conservatively with closed reduction and cast immobilization, but there has been a shift towards operative fixation. In this case, flexible nailing was performed due to its advantages of small incisions, minimal tissue disruption, shorter operative time, and ease of implant removal. Five years postoperatively, the patient had a successful outcome with complete fracture healing, full range of motion, and no pain.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Mohamed I. Abulsoud, Ahmed Saied Mohammed, Mohammed Elmarghany, Ahmed Elgeushy, Ehab Elzahed, Mohamed Moawad, Ehab A. Elshal, Mohamed F. Elhalawany, Yahia A. Hassanein, Amr A. Fouad, Ahmed R. Zakaria
Summary: This study aimed to analyze the results of internal fixation using intramedullary K-wires for displaced distal forearm fractures in children. The findings suggest that this technique prevents displacement and has a low complication rate.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Endocrinology & Metabolism
Stephen P. Tuck, Birgit Hanusch, Michael Prediger, Julie A. Walker, Richard McNally, Harish K. Datta
Summary: Men with distal forearm fractures have reduced bone density and an increased risk of osteoporosis and further fractures. This study aimed to investigate the structural determinants of these observations using quantitative CT. The results showed that men with fractures had lower bone density and cortical thickness, which explained the increased fracture risk in this group.
Article
Orthopedics
Ali Engin Dastan, Arman Vahabi, Omar Aljasim, Bunyamin Kilicli, Levent Kucuk, Erhan Coskunol
Summary: The study aimed to compare the effectiveness of single sugar-tong splint (SSTS) and long arm cast (LAC) as immobilization methods for pediatric distal forearm fractures. The results showed a significant difference in sagittal angulations between the SSTS and LAC groups in the first and second week. However, both groups had comparable radiological measurements and need for re-interventions.
JOINT DISEASES AND RELATED SURGERY
(2023)
Article
Cell & Tissue Engineering
F. Schmidutz, C. Schopf, S. G. Yan, M-D Ahrend, C. Ihle, C. Sprecher
Summary: This study evaluated the capability of cortical index at the distal radius to predict local bone mineral density (BMD) and found a close correlation between them. The cortical index can serve as an initial screening tool to estimate bone quality and enhance decision-making in fracture management or osteoporosis screening in acute settings.
BONE & JOINT RESEARCH
(2021)
Article
Geriatrics & Gerontology
Wen-Yu Yu, Hei-Fen Hwang, Mau-Roung Lin
Summary: The study investigated situational factors during falls leading to common fractures among older women in Taiwan. Different types of fractures (distal forearm, hip, and vertebrae) were influenced by varying situational factors, emphasizing the importance of considering both individual characteristics and situational factors for a comprehensive risk assessment. Additional intervention like training programs on safe landing strategies and effective compensatory reactions may be valuable in preventing serious injuries due to falls among older women.
Article
Emergency Medicine
Nihan Sik, Ali Ozturk, Mustafa Can Kosay, Durgul Yilmaz, Murat Duman
Summary: The study demonstrated the high accuracy and consistency of POCUS in assessing closed reduction of pediatric forearm fractures in a pediatric emergency setting, with a high predictive value similar to X-ray images and a significant correlation with X-ray measurements.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Eric Scheier, Uri Balla
Summary: Fracture reduction of distal forearm fractures by pediatric emergency medicine physicians under point-of-care ultrasound guidance results in high alignment accuracy, low failure rate, and significantly shorter length of stay compared to reductions performed by orthopedists.
PEDIATRIC EMERGENCY CARE
(2022)