de Alencar Neto Jonatas Brito, Jales Caio da Silveira, Coelho José Victor de Vasconcelos, de Souza Clodoaldo José Duarte, Cavalcante Maria Luzete Costa
Instituto Doutor José Frota, Orthopedics and Traumatology Center, Fortaleza, CE, Brazil.
Universidade Federal do Ceará, Faculty of Medicine, Department of Orthopedics, Fortaleza, CE, Brazil.
Acta Ortop Bras. 2022 May 23;30(3):e245185. doi: 10.1590/1413-785220223003e245185. eCollection 2022.
To study epidemiology, fracture pattern, associated injuries, and treatment of individuals with bilateral distal radius fracture, in a tertiary hospital.
Retrospective cross-sectional study developed based on patients with bilateral distal radius fracture from January 2012 to November 2017. Demographic data, trauma mechanism, radiological patterns, degree of deviation, associated injuries, classification of fractures according to the Association of Osteosynthesis (AO), the Salter-Harris (SH) and Frykman scales, and type of treatment used in each case.
13 cases were included in the trial, 10 adults and three children. In infants, the mean age was 9.6 years (7-11 years), and low-energy trauma was described in all these cases. In total, 66.6% of the children presented the SHII classification . In adult patients, the mean age observed was 43.5 years (27-56 years), with high-energy trauma reported in four (40%) cases. The AO 23C.3 and 23B.2 classifications were the most prevalent in adults.
In adult individuals, there was a higher incidence of open fractures, wrist joint involvement, ulna fracture, and concomitant injuries, with high-energy trauma observed only in this group, corresponding to half of the cases.
在一家三级医院研究双侧桡骨远端骨折患者的流行病学、骨折类型、相关损伤及治疗情况。
基于2012年1月至2017年11月期间双侧桡骨远端骨折患者开展回顾性横断面研究。收集人口统计学数据、创伤机制、放射学表现、移位程度、相关损伤、根据骨合成协会（AO）、Salter-Harris（SH）和Frykman量表进行的骨折分类以及每例患者的治疗类型。
该试验纳入13例患者，其中10例成人和3例儿童。儿童患者的平均年龄为9.6岁（7 - 11岁），所有这些病例均为低能量创伤。总体而言，66.6%的儿童为SHII型骨折。成人患者的平均年龄为43.5岁（27 - 56岁），4例（40%）报告为高能量创伤。AO 23C.3和23B.2分类在成人中最为常见。
在成人患者中，开放性骨折、腕关节受累、尺骨骨折及合并伤的发生率较高，仅该组观察到高能量创伤，占病例数的一半。
