Journal List > Arch Hand Microsurg > v.24(2) > 1125365

Arch Hand Microsurg. 2019 Jun;24(2):120-125. Korean.
Published online May 30, 2019.  https://doi.org/10.12790/ahm.2019.24.2.120
Copyright © 2019 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.
Comparison of Pediatric Distal Radius Fracture Patterns according to Age
Kyung-Sub Song, Seung-Hwan Lee, Byeong-Mun Park, Su-Keon Lee, Bong-Seok Yang and Ji-Hyeon Kim
Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea.

Corresponding author: Seung-Hwan Lee. Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, 36 Digital-ro, Gwangmyeong 14241, Korea. TEL: +82-2-2680-7699, FAX: +82-2-2680-7755, Email: java5885@gmail.com
Received Dec 11, 2018; Revised Jan 30, 2019; Accepted Feb 11, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

To compare demographic factors and radiologic parameters between metaphyseal fracture and physeal fracture of distal radius in children.

Methods

Forty-five children who visited our orthopedic clinic for distal radius fracture were included in this study from May 2010 to February 2017. Patients were divided into 2 groups which are metaphyseal fracture group and physeal fracture group. Demographic factors and radiologic parameters were compared between two groups. Mean age of all patients was 10.18±2.66 years old. There were 39 boys and 6 girls in all patients.

Results

Among all patients, 26 patients were diagnosed with metaphyseal fracture, 19 patients with physeal fracture. Complete fracture was most frequent in metaphyseal group and Salter–Harris type II fracture was most frequent in physeal group. Between simple metaphyseal group and physeal group, mean age, weight and height were significantly larger in physeal group. Ratio of patients over 10 years old was significantly higher in physeal group than metaphyseal group (p=0.036). There was no significant difference in radiologic and clinical results.

Conclusion

Physeal fracture occurs more frequently more than 10 years old. Postoperative radiologic result was not significantly different between two groups. In children with distal radius fracture over 10 years old, evaluation for the injury of growth plate are recommended.

Keywords: Distal radius fracture; Children; Physeal fracture; Metaphyseal fracture

Figures


Fig. 1
Radiographic example of a 5-year-old female patient with metaphyseal fracture. (A) Preoperative radiographs. (B) Postoperative radiograph. (C) Radiograph after union.
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Fig. 2
Radiographic example of a 12-year-old male patient with metaphyseal fracture. (A) Preoperative radiographs. (B) Postoperative radiograph. (C) Radiograph after union.
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Tables


Table 2
Injury mechanisms of metaphyseal and physeal groups
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Table 3
Comparison of demographic factors between metaphyseal fracture group and physeal fracture group
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Table 4
Comparison of radiologic and clinical result using t-test
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Notes

CONFLICTS OF INTEREST:The authors have nothing to disclose.

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