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首页> 美国卫生研究院文献>Acta Bio Medica : Atenei Parmensis >Distal radius nonunion after epiphyseal plate fracture in a 15 years old young rider
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Distal radius nonunion after epiphyseal plate fracture in a 15 years old young rider

机译：15岁年轻骑手epi骨epi骨骨折后的radius骨远端骨不连

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摘要

Background and aim of the work: Radius and ulna fractures are the most common long bone fractures in children and adolescents. The majority of these injuries involve the distal metaphyseal portion of the radius associated or not to physeal plate injuries. Because of the high remodelling potential of the distal radius in growing children most injuries heal without complication after closed reduction and immobilization in a long arm cast. Nonunions of closed distal radius fracture are an extremely rare occurrence especially in paediatric population. Methods: In this report, we describe a rare case of distal radius fracture nonunion in a 15-years old male rider treated conservatively with cast immobilization. Eight months later he underwent surgical closed reduction and fixation with kirschner wire and cannulated screw. Results: Follow-up at 2 years showed satisfying radiological and functional outcomes. The patient ultimately returned to ride 3 months following surgery. Conclusions: Nonunion is rarely seen in distal radius fractures in healthy children and adolescents, and there are few studies in the literature. Treatment of the nonunion must be individualized and the results are not entirely predictable. ()
机译：工作背景和目的：Rad骨和尺骨骨折是儿童和青少年中最常见的长骨骨折。这些损伤中的大多数涉及involve骨远侧干phy端部分与或不与骨plate板损伤相关。由于在成长中的儿童中the骨远端具有很高的重塑潜力，在闭合复位并固定在长臂石膏中后，大多数损伤都可以愈合而无并发症。闭合性radius骨远端远端骨折的骨不连非常罕见，尤其是在小儿人群中。方法：在本报告中，我们描述了在保守治疗的15岁男性骑手中发生的radius骨远端骨折骨不连的罕见情况。八个月后，他进行了手术封闭复位，并用克氏针和空心螺钉固定。结果：2年的随访显示令人满意的放射学和功能结果。手术后三个月，患者最终返回骑行。结论：在健康儿童和青少年的radius骨远端骨折中很少见骨不连，并且文献很少。骨不连的治疗必须个性化，其结果也不是完全可预测的。 （）

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