Physeal Closure and Fracture Pattern in Adolescent Transitional Distal Radius Fractures.
Journal
Journal of pediatric orthopedics
ISSN: 1539-2570
Titre abrégé: J Pediatr Orthop
Pays: United States
ID NLM: 8109053
Informations de publication
Date de publication:
13 Dec 2023
13 Dec 2023
Historique:
medline:
13
12
2023
pubmed:
13
12
2023
entrez:
13
12
2023
Statut:
aheadofprint
Résumé
To show a correlation between grade of physeal closure and fracture pattern in adolescent transitional distal radius fractures. A retrospective chart review was performed of 490 distal radius fractures, ages 14 to 18, at a single institution between 2007 and 2020. A board-certified orthopaedic hand surgeon reviewed all images. Thirty-six distal-radius fractures were considered adolescent transitional fractures. The review included Salter-Harris classification, fracture fragments, and grade of physeal closure. Distal radial physeal closure is 50 times more likely to be of a higher grade in the presence of Salter-Harris type IV fractures (P<0.001). Closure of the physis is also 7.37 and 13.08 times more likely to be of higher grade in the absence of a dorsal metaphyseal fracture and in the presence of an ulnar corner fracture, respectively (P=0.011 and 0.021). Adolescent transitional fractures of the distal radius occur when the growth plate has a partial closure. The closure pattern of the distal radial physis begins centrally, with subsequent ulnar and then radial closure. In this cohort, there is a correlation between grade of physeal closure and fracture pattern in adolescent transitional distal radius fractures. Level IV-diagnostic.
Identifiants
pubmed: 38088208
doi: 10.1097/BPO.0000000000002586
pii: 01241398-990000000-00444
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Ryu SM, Park JW, Kim SD, et al. Is an operation always needed for pediatric triplane fractures? Preliminary results. J Pediatr Orthop B. 2018;27:412–418.
Johnson EW, Fahl JC. Fractures involving the distal epiphysis of the tibia and fibula in children. Am J Surg. 1957;93:778–781.
Lynn MD. The triplane distal tibial epiphyseal fracture. Clin Orthop Relat Res. 1972;86:187–190.
Schnetzler KA, Hoernschemeyer D. The pediatric triplane ankle fracture. J Am Acad Orthop Surg. 2007;15:738–747.
Peterson HA. Triplane fracture of the distal humeral epiphysis. J Pediatr Orthop. 1983;3:81–84.
Masquijo JJ, Allende V. Triplane fracture of the distal femur: a case report. J Pediatr Orthop. 2011;31:e60–e63.
Chin KR, Jupiter JB. Treatment of triplane fractures of the head of the proximal phalanx. J Hand Surg [Am]. 1999;24:1263–1268.
Garcia Mata S, Hidalgo Ovejero A, Martinez Grande M. Triplane fractures in the hand. Am J Orthop (Belle Mead NJ). 1999;28:125–127.
Golshteyn G, Katsman A. Pediatric trauma. Clin Podiatr Med Surg. 2022;39:57–71.
Mizuta T, Benson WM, Foster BK, et al. Statistical analysis of the incidence of physeal injuries. J Pediatr Orthop. 1987;7:518–523.
Kallini JR, Fu EC, Shah AS, et al. Growth disturbance following intra-articular distal radius fractures in the skeletally immature patient. J Pediatr Orthop. 2020;40:e910–e915.
Abzug JM, Little K, Kozin SH. Physeal arrest of the distal radius. J Am Acad Orthop Surg. 2014;22:381–389.
Rauer T, Pape HC, Gamble JG, et al. Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review. Eur J Med Res. 2020;25:21. doi:10.1186/s40001-020-00419-0
doi: 10.1186/s40001-020-00419-0
Cepela DJ, Tartaglione JP, Dooley TP, et al. Classifications in brief: Salter-Harris Classification of Pediatric Physeal Fractures. Clin Orthop Relat Res. 2016;474:2531–2537.
Medoff RJ. Essential radiographic evaluation for distal radius fractures. Hand Clin. 2005;21:279–288.
Bae DS. Pediatric distal radius and forearm fractures. J Hand Surg Br. 2008;33:1911–1923.
Kraus R, Reyers J, Alt V, et al. Physiological closure of the physeal plate of the distal radius: an MRI analysis. Clin Anat. 2011;24:1010–1015.
Ecklund K, Jaramillo D. Patterns of premature physeal arrest. Am J Roentgenol. 2002;178:967–972.
Parkar A, Marya S, Auplish S. Distal radius triplane fracture. Ann R Coll Surg Engl. 2014;96:e6–e7.
DiFiori JP, Caine DJ, Malina RM. Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med. 2006;34:840–849.