Arora Rajan, Fichadia Utkarsh, Hartwig Earl, Kannikeswaran Nirupama
Pediatr Ann. 2014 May;43(5):196-204. doi: 10.3928/00904481-20140417-12.
Upper-extremity fractures account for more than half of childhood bony injuries. The frequency of injury increases with increasing mobility. The most common mechanism is a fall on an outstretched hand while playing. Optimal management requires knowledge of the normal anatomy and variants unique to pediatric bones. The physician needs to maintain a high level of suspicion for growth plate injuries because if unrecognized, these may result in growth arrest. Although the vast majority of pediatric upper-extremity fractures will heal rapidly with minimal intervention, physicians should be aware of the complications that can arise from these injuries.
上肢骨折占儿童骨损伤的一半以上。损伤频率随着活动能力的增加而上升。最常见的机制是玩耍时伸手跌倒。最佳治疗需要了解小儿骨骼特有的正常解剖结构和变异。医生需要对生长板损伤保持高度怀疑，因为如果未被识别，这些损伤可能导致生长停滞。虽然绝大多数小儿上肢骨折只需极少干预就能迅速愈合，但医生应了解这些损伤可能引发的并发症。
