![]() Most non-displaced fractures, Salter-Harris I and II, greenstick, buckle, complete or plastically deformed fractures, are amenable to first-line nonoperative treatment. Treatment options include nonoperative immobilization, closed reduction and percutaneous pinning, and open reduction internal fixation. It is imperative not to miss associated dislocations, including Galeazzi or Monteggia fracture dislocations. Growth arrest with displaced physeal injuries of the distal radius occurs in 4–5 % of cases, while an ulnar physeal injury can be present in up to 50% of fractures involving the distal ulnar physis. The soft tissues may reveal signs of an open fracture, compartment syndrome, or vascular compromise. ![]() One must assess the joints above and below to rule out a concomitant injury. Distal radius fractures are commonly associated with ulnar fractures, either at the same level or at the ulnar styloid. The remodeling potential is especially great in the younger patient with more than 2 years of growth remaining.Ĭlinical examination and radiographic evaluation of the affected limb will reveal the fracture in question. The pediatric wrist fracture has excellent remodeling potential, as the distal radius physis contributes approximately 80% of the longitudinal growth of the forearm. They commonly occur as a result of a traumatic fall, more commonly in males than females, and their prevalence is on the rise. Distal radius fractures are the most common fractures in the pediatric population, with an incidence of 21–31 % of fractures.
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