Czerny F, Linhart W, Rueger J M, Sommerfeldt D, Pannike A
Klinik für Unfallchirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main.
Unfallchirurgie. 1994 Aug;20(4):203-10. doi: 10.1007/BF02588713.
A total of 285 children out of an 8 year period with fractures of the forearm were studied. Of these 175 (62.2%) had a fracture of the distal radius and 51 (18.2%) had a fracture of the distal forearm and there were 42 (14.7%) fractures in the middle or proximal third in this region. Three children with injuries of the distal radial epiphysis had to be treated by percutaneous wire fixation. Except for 2 cases who needed surgery all severe dislocated forearm fractures could be treated by closed reduction. In all cases the children were immobilized with a long upper arm cast for 3 to 4 weeks. Follow-up examinations up to 6 years after injury showed excellent results in distal forearm and distal radial fractures whereas results were only satisfactory in midshaft forearm fractures.
在8年期间,对总共285名前臂骨折的儿童进行了研究。其中175例(62.2%)为桡骨远端骨折,51例(18.2%)为前臂远端骨折,该区域中三分之一或近端三分之一处有42例(14.7%)骨折。3例桡骨远端骨骺损伤的儿童必须接受经皮钢丝固定治疗。除2例需要手术外,所有严重的前臂脱位骨折均可通过闭合复位治疗。所有病例中,儿童均用长臂石膏固定3至4周。受伤后长达6年的随访检查显示,前臂远端和桡骨远端骨折的结果极佳,而前臂中段骨折的结果仅为满意。