Penn State Hershey Pediatric Bone and Joint Institute, Penn State College of Medicine, Hershey, PA.
Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.
J Orthop Trauma. 2019 Aug;33 Suppl 8:S6-S11. doi: 10.1097/BOT.0000000000001545.
Distal radius and ulna fractures are common injuries in children. Fractures typically involve the distal radius and ulna metaphysis or physis or a combination of the 2. The goals of treatment are aimed at achieving satisfactory anatomic alignment within defined parameters based on growth remaining. Nonoperative treatment approaches are recommended for most fractures, whereas surgical intervention is indicated for select cases. Potential issues with skeletal growth and bone remodeling are common. This article will offer evidence- and experience-based pearls regarding common closed fractures of the distal radius and ulna intended to benefit the community orthopaedic surgeon caring for children during the course of their on-call duties.
桡骨远端和尺骨骨折是儿童常见的损伤。骨折通常涉及桡骨远端和尺骨干骺端或骺板，或两者的组合。治疗的目标是在基于剩余生长的定义参数内实现满意的解剖对线。大多数骨折推荐非手术治疗方法，而对于某些病例则需要手术干预。骨骼生长和骨重塑的潜在问题很常见。本文将提供基于证据和经验的关于桡骨远端和尺骨常见闭合性骨折的宝贵建议，旨在使负责儿童急诊值班的社区骨科医生受益。
