Forearm Fractures Children

Forearm fractures are among the most common types of fractures in children. These fractures typically involve the radius and ulna, the two long bones in the forearm. Due to their active nature, children are prone to falls and injuries that can lead to these fractures. Here’s a detailed overview:

Types of Forearm Fractures

Greenstick Fracture

- Common in children due to their more flexible bones.
- The bone bends and partially breaks, like bending a green twig.

Torus (Buckle) Fracture

- Occurs when the bone compresses and bulges without a complete break.
- Often happens near the wrist due to a fall on an outstretched hand.

Complete Fracture

- The bone breaks completely into two or more pieces.
- Can be either displaced (bones are misaligned) or non-displaced.

Growth Plate Fracture

- Involves the growth plates at the ends of bones.
- Particularly concerning because it can affect future bone growth.

Monteggia Fracture

- Falls: The most common cause, especially falling onto an outstretched hand.
- Direct Trauma: A direct blow to the forearm, often from sports or accidents.
- Twisting Injuries: Less common but can occur in activities like gymnastics or playground accidents.

Symptoms

– Pain: Immediate and localized to the site of the fracture.
– Swelling and Bruising: Often visible over the fractured area.

– Deformity: In cases of displaced fractures, the arm may look misshapen.
– Limited Mobility: Difficulty in moving the wrist, elbow, or fingers.
– Tenderness: Pain when the area is touched or moved.

Diagnosis

– Physical Examination: Assessing the location of pain, swelling, and deformity.
– X-rays: The primary diagnostic tool to visualize the fracture.

– CT or MRI: Sometimes used if the fracture is complex or involves the growth plate.

Treatment

1. Non-Surgical:
– Casting or Splinting: Common for non-displaced fractures or greenstick fractures.
– Reduction: Manipulation of the bones to align them before casting, used in some displaced fractures.

2. Surgical:
– Internal Fixation: In cases of severe fractures, plates, screws, or pins may be used to hold the bones in place.
– External Fixation: Used for very unstable fractures or in cases where internal fixation is not suitable.

Recovery

– Healing Time: Varies by fracture type, but generally takes 4-8 weeks for most forearm fractures.

– Rehabilitation: Physical therapy may be required to restore full function, especially if there was a significant displacement or surgery was needed.
– Follow-up: Regular X-rays to ensure proper healing, especially in growth plate fractures.

Complications

– Growth Disturbances: Particularly in fractures involving the growth plate.
– Malunion: Healing of the bone in a wrong position, potentially leading to deformity.

– Compartment Syndrome: A rare but serious condition where swelling compresses blood vessels and nerves, requiring emergency treatment.

Prevention

– Protective Gear: In sports, wearing wrist guards or padding can help prevent fractures.

– Supervised Play: Ensuring safe environments for play can reduce the risk of falls.

Forearm fractures in children generally have a good prognosis with proper treatment, but timely diagnosis and appropriate care are crucial to ensure a full recovery.

ΕΠΙΚΟΙΝΩΝΗΣΤΕ ΜΕ ΤΟ ΓΙΑΤΡΟ

ΚΛΕΙΣΕ ΤΟ ΡΑΝΤΕΒΟΥ ΣΟΥ