Segmental Ulnar Fracture in a Child: Case Report

Abstract

Forearm fractures are among the most common orthopaedic injuries in chilhood. Segmenter forearm fractures are seen in adults following high enery trauma whereas it is extremely rare in children. Herein, we report a 12 year boy who had four segmented ulnar fracture, treated with surgical intervention and discuss the possible mechanism of injury.

Keywords

• Forearm Fracture, Children, Segmental

Çocukta Segmenter Ulna Kırığı: Olgu Sunumu

Abstract

Önkol kırıkları çocukluk çağında en sık karşılaşılan ortopedik yaralanmalardandır. Segmenter önkol kırıkları erişkinlerde yüksek enerjili yaralanmalar sonrası sıklıkla görülmesine karşın çocuklarda son derece nadirdir. Bu yazıda, 12 yaşında dört parçalı segmenter ulna kırığı olan ve cerrahi tedavi ile iyi sonuç alınan bir çocuk sunulmuş ve olası yaralanma mekanizmaları tartışılmıştır.

Keywords

• Önkol Kırığı, Çocuk, Segmenter

References

1. Cheng JC, Ng BK, Ying SY, Lam PK. A 10-year study of the changes in the pattern and treatment of 6,493 fractures. J Pediatr Orthop, 1999;19:344–350.
2. Grainger J, Oliva F, Maffulli N. Segmental radius and ulna fracture with epiphyseal involvement: a case report. Bull Hosp Jt Dis, 2005;62(3–4):131–133
3. Beaty JH, Kasser JR. Injuries To The Shaft of Radius and Ulna. In Price CT, Gregory A.M, eds. Fractures in Children, 5th edn. Philadelphia: LWW, 2001: 443
4. Currey JD, Butler G. The mechanical properties of bone tissue in children. J Bone Joint Surg Am, 1975;57(6):810–814.
5. Tredwell SJ, Van Peteghem K, Clough M. Pattern of forearm fractures in children. J Pediatr Orthop, 1984;4(5):604–608.
6. Voto S.J, Weiner D.S, Leighley B. Use of Pins and Plaster in the Treatment of Unstable Pediatric Forearm Fractures. J Pediatr Orthop, 1990;10(1):85–89
7. Wyrsch B.,Mencio G.A.,Green N.E.. Opern Reduction and Fixation of Pediatric Forearm Fractures. J Pediatr Orthop, 1996;16(5):644–650.
8. Kucukkaya M, Kabukcuoglu Y, Tezer M, Eren T, Kuzgun U. The Application of Open Intramedullary Fixation in the Treatment of Pediatric Radial and Ulnar Shaft Fractures. J Orthop Trauma, 2002;16(5):340–344

9. Richter D, Osterman PA, Ekkemkamp A, Muhr G, Hahn MP. Elastic intramedullary nailing: a minimally invasive concept in the treatment of unstable forearm fractures in children. J Pediatr Orthop, 1998;18(4):457– 461.