Distal radius nonunion after epiphyseal plate fracture in a 15 years old young rider: Distal radius nonunion in adolescent

Distal radius nonunion after epiphyseal plate fracture in a 15 years old young rider

Distal radius nonunion in adolescent

Authors

  • Alessio Pedrazzini SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR)
  • Paolo Bastia Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Nicola Bertoni Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Bianca Pedrabissi Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Henry Claudel Yewo Simo Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Vanni Medina Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Francesco Ceccarelli Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Francesco Pogliacomi Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy

Keywords:

non-union, distal radius, physeal plate, paediatric, adolescence

Abstract

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.

Author Biography

Alessio Pedrazzini, SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR)

specialista in ortopedia e traumatolgia, specialista in idrologia medica, master in Chirurgia della Mano, diploma di Tecniche Microchirurgiche, professore a  contratto dell'Università di Parma

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Published

18-12-2018

Issue

Section

CASE REPORTS

How to Cite

1.
Distal radius nonunion after epiphyseal plate fracture in a 15 years old young rider: Distal radius nonunion in adolescent. Acta Biomed [Internet]. 2018 Dec. 18 [cited 2024 Mar. 29];90(1-S):169-74. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/7999