![]() Extra-articular displacement can occur in any of the 3 planes. In pediatric distal radius fractures, displacement can be either extra-articular or intra-articular.Nondisplaced: ≥1 fracture lines defining one or several fracture fragments however, the external cortical contours are not significantly disrupted.Extreme dorsal angulation may be associated with triangular fibrocartilage complex (TFCC) injuries.Angulation is measured in degrees after identifying the direction of the apex of the angulation.Degree of malrotation of the fracture fragments can be used to describe the fracture deformity.Ī - Angulation (fracture fragments in relationship to one another).Pediatric distal radius fracture deformity can be caused by proximal rotation of the fracture fragment in relation to the distal fracture fragment.Therefore, open fractures of the pediatric distal radius require antibiotics with surgical irrigation and wound debridement. As a result, there is always a risk for chronic osteomyelitis. The wound provides a pathway for bacteria to reach and infect the fracture site. Open: a wound connects the external environment to the fracture site.A pediatric distal radius fracture is further defined as unstable if it is unable to resist displacement after being anatomically reduced.Typically, unstable pediatric distal radius fractures have significant deformity with comminution, displacement, angulation, and/or shortening. Unstable: will not remain anatomically or nearly anatomically aligned after a successful closed reduction and immobilization.Some authors add that stable fractures remain aligned, even when adjacent joints are put to a partial range of motion (ROM). However, most definitions define a stable fracture as one that will maintain anatomical alignment after a simple closed reduction and splinting. It does not require reduction, and the fracture fragments’ alignment is maintained by with simple splinting or casting. Stable: fracture fragment pattern is generally nondisplaced or minimally displaced.Universally accepted definitions of clinical fracture stability is not well defined in the literature.S – Stability P – Pattern O – Open R – Rotation A – Angulation D – Displacement I – Intra-articular C – Closed Hand Surgery Resource’s Fracture Description and Characterization Acronym A pediatric distal radius fracture is caused by a direct force that exceeds the breaking point of the bone.A pediatric distal radius fracture produces a discontinuity in the distal radius contours that can be complete or incomplete.A pediatric distal radius fracture is a disruption of the mechanical integrity of the distal radius.In the Salter/Harris classification, the higher the number, the more likely the growth plate will be permanently damaged and bone deformity will occur. The Type II fracture is the most common type of physeal fracture. In 1963, Salter and Harris proposed a classification system for pediatric physeal fractures. If not treated properly, an arm or leg could grow to be crooked or of unequal length compared to the other limb. Thus, these fractures require prompt attention. ![]() Growth plates are located at the ends of the long bones, and they help determine the ultimate length and shape of mature bones. In addition, anatomically named fractures are often also identified by specific eponyms or other special features.įor the Pediatric Distal Radius Salter I-V Fracture, the historical and specifically named fractures include:īy selecting the name (diagnosis), you will be linked to the introduction section of this Diagnostic Guide dedicated to the selected fracture eponym.Īlthough the bones of adults and children share many of the same risks for fracture, children are uniquely susceptible to physeal fracture, as their bones are still growing, and the growth plate is the weakest part of the growing bone. Hand Surgery Resource’s Diagnostic Guides describe fractures by the anatomical name of the fractured bone and then characterize the fracture by the Acronym: Fracture Nomenclature for Pediatric Distal Radius Salter I-V Fractures
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