Fike E A, Bartal E
Department of Surgery, University of Kansas School of Medicine, Wichita, USA.
J South Orthop Assoc. 1998 Summer;7(2):113-6.
Fractures of the distal third of the forearm are common in children. These fractures are known to heal readily and rapidly. We describe a 10-year-old boy who had a closed, low-energy fracture of the distal radius and ulna. The radius healed promptly, but the ipsilateral ulna had radiographic evidence of delayed union. We have not found a report of a nonunion of this kind in the literature. With the increasing use of internal fixation and the lack of guidance in the literature, we questioned the standard use of closed treatment. We treated this patient nonoperatively, despite the delay in union, and the fracture healed in 4 months.
儿童前臂远端三分之一处骨折很常见。已知这些骨折愈合容易且迅速。我们描述了一名10岁男孩，他发生了闭合性、低能量的桡骨和尺骨远端骨折。桡骨迅速愈合，但同侧尺骨有影像学证据显示延迟愈合。我们在文献中未发现此类骨不连的报道。随着内固定使用的增加以及文献中缺乏指导，我们对闭合治疗的标准用法提出质疑。尽管存在愈合延迟，我们仍对该患者进行了非手术治疗，骨折在4个月后愈合。
