Comparison of Pediatric Distal Radius Fracture Patterns according to Age

Song,  Kyung Sub; Lee,  Seung Hwan; Park,  Byeong Mun; Lee,  Su Keon; Yang,  Bong Seok; Kim,  Ji Hyeon

doi:2019.24.2.120

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Original Article

Archives of Hand and Microsurgery 2019;24(2):120-125.
Published online June 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.2.120

Comparison of Pediatric Distal Radius Fracture Patterns according to Age

Kyung-Sub Song, Seung-Hwan Lee, Byeong-Mun Park, Su-Keon Lee, Bong-Seok Yang, Ji-Hyeon Kim

Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea. java5885@gmail.com

Received: 11 December 2018 • Revised: 30 January 2019 • Accepted: 11 February 2019

Abstract

Purpose
To compare demographic factors and radiologic parameters between metaphyseal fracture and physeal fracture of distal radius in children.

Methods
Forty-five children who visited our orthopedic clinic for distal radius fracture were included in this study from May 2010 to February 2017. Patients were divided into 2 groups which are metaphyseal fracture group and physeal fracture group. Demographic factors and radiologic parameters were compared between two groups. Mean age of all patients was 10.18±2.66 years old. There were 39 boys and 6 girls in all patients.

Results
Among all patients, 26 patients were diagnosed with metaphyseal fracture, 19 patients with physeal fracture. Complete fracture was most frequent in metaphyseal group and Salter–Harris type II fracture was most frequent in physeal group. Between simple metaphyseal group and physeal group, mean age, weight and height were significantly larger in physeal group. Ratio of patients over 10 years old was significantly higher in physeal group than metaphyseal group (p=0.036). There was no significant difference in radiologic and clinical results.

Conclusion
Physeal fracture occurs more frequently more than 10 years old. Postoperative radiologic result was not significantly different between two groups. In children with distal radius fracture over 10 years old, evaluation for the injury of growth plate are recommended.

Key Words: Distal radius fracture, Children, Physeal fracture, Metaphyseal fracture

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