OKOJ

OKOJ, Volume 2, No. 7


Distal Forearm Fractures

Forearm fractures are the most common long bone fractures in children and account for 40% to 45% of all pediatric fractures. Treatment of these injuries is dependant on location, amount of displacement, and the age of the patient. Fractures to the distal third of the forearm are the most common forearm fractures. These fractures are more common in boys and are noted in all age ranges, being particularly common during the adolescent growth spurt years. The most common mechanism of injury is a fall on the extended wrist, resulting in a dorsally displaced fracture.

This article reviews a number of fractures and fracture patterns in distal and diaphyseal radius ulnar fractures, including torus fractures, greenstick fractures, completely displaced fractures, physeal fractures of the radius and ulna, Galeazzi fractures, and fractures of the middle third. Video is available.

    • Keywords:
    • wrist fracture

    • wrist joint fracture

    • broken wrist

    • broken arm

    • broken forearm

    • fractured forearm

    • middle forearm fracture

    • forearm shaft fracture

    • distal shaft forearm fracture

    • radial shaft fracture

    • ulnar shaft fracture

    • radial metaphyseal fracture

    • ulnar metaphyseal fracture

    • torus fracture

    • greenstick fracture

    • both-bone fracture

    • displaced fracture

    • physeal fracture

    • Galeazzi fracture

    • Salter-Harris classification

    • malalignment

    • acceptable angulation

    • remodeling

    • cast immobilization

    • reduction techniques

    • plate fixation

    • Subspecialty:
    • Trauma

    • Pediatric Orthopaedics

Flexor Tendon Repair

A flexor tendon injury is often the result of trauma involving laceration or avulsion of the flexor digitorum profundus (FDP) or flexor digitorum superficialis (FDS). Pathologic ruptures are rare. Diagnosis of a flexor tendon injury is based on an evaluation of the subjective patient history and a thorough clinical assessment. Various techniques for flexor tendon repair are reviewed. Video is available for this topic.

    • Keywords:
    • hand injury

    • finger injury

    • flexor tendon rupture

    • flexor tendon system

    • flexor pulley system

    • flexor digitorum profundus

    • FDP

    • flexor digitorum superficialis

    • FDS

    • core suture method

    • epitendinous suture method

    • partial FDP laceration repair

    • Subspecialty:
    • Hand and Wrist

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