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Case Report Open Access

Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report

  • Authors:
    • Jun Komatsu
    • Nana Nagura
    • Atsuhiko Mogami
    • Hideaki Iwase
    • Kazuo Kaneko
  • View Affiliations / Copyright

    Affiliations: Department of Medicine for Motor Organs, Juntendo University Graduate School of Medicine, Bunkyo‑ku, Tokyo 113‑8421, Japan, Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka 410‑2295, Japan, Department of Bio‑Engineering, Juntendo University Institute of Casualty Center, Izunokuni, Shizuoka 410‑2295, Japan
    Copyright: © Komatsu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 3009-3013
    |
    Published online on: August 20, 2019
       https://doi.org/10.3892/etm.2019.7932
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Abstract

A greenstick fracture is an incomplete fracture where the compressive side of the cortex is still intact but plastically deformed. The incidence of poor results following the closed treatment of greenstick fractures in children >10 years of age is seriously underestimated. Therefore, fixing the position of the forearm is important for initial treatment. In cases of greenstick fracture, the possibility of inadequate remodeling of angulated deformities during growth, and in particular, the lack of correction between rotational malalignment and growth when the diaphyseal forearm is involved in the fracture, should be considered. A male, 10‑year‑old, left hand‑dominant, Asian patient fell while playing in the garden and was immediately assessed by an orthopedic doctor at an Emergency Orthopaedic Clinic. Initial examination revealed a deformity of his dominant left forearm and an angulated greenstick fracture of the radius. However, after 3 months, he developed loss of supination of his left forearm and complained of limitation of left forearm supination. Radiography demonstrated a volar angulation of 20˚. The patient underwent open reduction, internal fixation and 10˚ bending with a plate for correction without corrective rotation. At 12 months after injury, the patient did not exhibit pain or limitation of the elbow and wrist. After follow‑up for 7 years, the patient was able to perform normal day‑to‑day activities with no adverse symptoms. The present case indicated that corrective osteotomy is required following the loss of supination after a greenstick fracture of the diaphysis of the radius. The patient of the current study exhibited rotation due to the central band of the interosseous membrane. In the treatment of greenstick fractures, a radius apex angulation of 20˚ must be corrected via osteotomy due to loss of rotation. The present case indicated that corrective osteotomy of the radius apex alone without rotational correction, in combination with plate bending improved the loss of forearm rotation.
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1 

Cheng JC, Ng BK, Ying SY and Lam PK: A 10-year study of the changes in the pattern and treatment of 6,493 fractures. J Pediatr Orthop. 19:344–350. 1999. View Article : Google Scholar : PubMed/NCBI

2 

Jones K and Weiner DS: The management of forearm fractures in children: A plea for conservatism. J Pediatr Orthop. 19:811–815. 1999. View Article : Google Scholar : PubMed/NCBI

3 

Vopat ML, Kane PM, Christino MA, Truntzer J, McClure P, Katarincic J and Vopat BG: Treatment of diaphyseal forearm fractures in children. Orthop Rev (Pavia). 24:53252014.

4 

Alpar EK, Thompson K, Owen R and Taylor JF: Midshaft fractures of forearm bones in children. Injury. 13:153–158. 1981. View Article : Google Scholar : PubMed/NCBI

5 

Flynn JM, Jones KJ, Garner MR and Goebel J: Eleven years experience in the operative management of pediatric forearm fractures. J Pediatr Orthop. 30:313–319. 2010. View Article : Google Scholar : PubMed/NCBI

6 

Hotchkiss RN, An KN, Sowa DT, Basta S and Weiland AJ: An anatomic and mechanical study of the interosseous membrane of the forearm: Pathomechanics of proximal migration of the radius. J Hand Surg Am. 14:256–261. 1989. View Article : Google Scholar : PubMed/NCBI

7 

Shepard MF, Markolf KL and Dunbar AM: Effects of radial head excision and distal radial shortening on load-sharing in cadaver forearms. J Bone Joint Surg Am. 83:92–100. 2001. View Article : Google Scholar : PubMed/NCBI

8 

Price CT: Acceptable alignment of forearm fractures in children: Open reduction indications. J Pediatr Orthop. 30:S82–S84. 2010. View Article : Google Scholar

9 

Tarmuzi NA, Abdullah S, Osman Z and Das S: Paediatric forearm fractures: Functional outcome of conservative treatment. Bratisl Lek Listy. 110:563–568. 2009.PubMed/NCBI

10 

Shoemaker SD, Comstock CP, Mubarak SJ, Wenger DR and Chambers HG: Intramedullary kirschner wire fixation of open or unstable forearm fractures in children. J Pediatr Orthop. 19:329–337. 1999. View Article : Google Scholar : PubMed/NCBI

11 

Cullen MC, Roy DR, Giza E and Crawford AH: Complications of intramedullary fixation of pediatric forearm fractures. J Pediatr Orthop. 18:14–21. 1998. View Article : Google Scholar : PubMed/NCBI

12 

Price CT and Mencio GA: Injuries to the shafts of the radius and ulnaFractures in Children. Beaty JH and Kasser JR: 5th. Lippincott Williams & Wilkins; Philadelphia, PA: pp. 443–482. 2001

13 

Price CT and Knapp DR: Osteotomy for malunited forearm shaft fractures in children. J Pediatr Orthop. 26:193–196. 2006. View Article : Google Scholar : PubMed/NCBI

14 

Creasman C, Zaleske DJ and Ehrlich MG: Analyzing forearm fractures in children. The more subtle signs of impending problems. Clin Orthop Relat Res. 40–53. 1984.PubMed/NCBI

15 

Daruwalla JS: A study of radioulnar movements following fractures of the forearm in childrenClin Orthop Relat Res; pp. 114–120. 1979, PubMed/NCBI

16 

Shah AS, Lesniak BP, Wolter TD, Caird MS, Farley FA and Vander Have KL: Stabilization of adolescent both-bone forearm fractures: A comparison of intramedullary nailing versus open reduction and internal fixation. J Orthop Trauma. 24:440–447. 2010. View Article : Google Scholar : PubMed/NCBI

17 

Price CT: Part II: Injuries to the shaft of the radius and ulnaFractures in Children. Rockwood CA Jr, Wilkins KE, Beaty JH and Green DP: 4th. Lippincott-Raven; Philadelphia, PA: pp. 522–524. 1996

18 

Patrick J: A study of supination and pronation, with especial reference to the treatment of forearm fractures. J Bone Joint Surg Am. 28:737–748. 1946.PubMed/NCBI

19 

van Geenen RC and Besselaar PP: Outcome after corrective osteotomy for malunited fractures of the forearm sustained in childhood. J Bone Joint Surg Br. 89:236–239. 2007. View Article : Google Scholar : PubMed/NCBI

20 

Byrne AM, Impelmans B, Bertrand V, Van Haver A and Verstreken F: Corrective osteotomy for malunited diaphyseal forearm fractures using preoperative 3-dimensional planning and patient-specific surgical guides and implants. J Hand Surg Am. 42:836.e1–836.e12. 2017. View Article : Google Scholar

21 

Murase T, Oka K, Moritomo H, Goto A, Yoshikawa H and Sugamoto K: Three-dimensional corrective osteotomy of malunited fractures of the upper extremity with use of a computer simulation system. J Bone Joint Surg Am. 90:2375–2389. 2008. View Article : Google Scholar : PubMed/NCBI

22 

Jeuken RM, Hendrickx RPM, Schotanus MGM and Jansen EJ: Near-anatomical correction using a CT-guided technique of a forearm malunion in a 15-year-old girl: A case report including surgical technique. Orthop Traumatol Surg Res. 103:783–790. 2017. View Article : Google Scholar : PubMed/NCBI

23 

Hensinger RN: Meeting highlights. 1986 Annual Meeting, American Academy of Orthopaedic Surgeons. J Pediatr Orthop. 6:500–506. 1986. View Article : Google Scholar

24 

Graham TJ, Fischer TJ, Hotchkiss RN and Kleinman WB: Disorders of the forearm axis. Hand Clin. 14:305–316. 1998.PubMed/NCBI

25 

Chloros GD, Wiesler ER, Stabile KJ, Papadonikolakis A, Ruch DS and Kuzma GR: Reconstraction of essex-lopressti injury of forearm: Technical note. J Hand Surg Am. 33:124–130. 2008. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Komatsu J, Nagura N, Mogami A, Iwase H and Kaneko K: Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report. Exp Ther Med 18: 3009-3013, 2019.
APA
Komatsu, J., Nagura, N., Mogami, A., Iwase, H., & Kaneko, K. (2019). Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report. Experimental and Therapeutic Medicine, 18, 3009-3013. https://doi.org/10.3892/etm.2019.7932
MLA
Komatsu, J., Nagura, N., Mogami, A., Iwase, H., Kaneko, K."Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report". Experimental and Therapeutic Medicine 18.4 (2019): 3009-3013.
Chicago
Komatsu, J., Nagura, N., Mogami, A., Iwase, H., Kaneko, K."Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report". Experimental and Therapeutic Medicine 18, no. 4 (2019): 3009-3013. https://doi.org/10.3892/etm.2019.7932
Copy and paste a formatted citation
x
Spandidos Publications style
Komatsu J, Nagura N, Mogami A, Iwase H and Kaneko K: Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report. Exp Ther Med 18: 3009-3013, 2019.
APA
Komatsu, J., Nagura, N., Mogami, A., Iwase, H., & Kaneko, K. (2019). Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report. Experimental and Therapeutic Medicine, 18, 3009-3013. https://doi.org/10.3892/etm.2019.7932
MLA
Komatsu, J., Nagura, N., Mogami, A., Iwase, H., Kaneko, K."Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report". Experimental and Therapeutic Medicine 18.4 (2019): 3009-3013.
Chicago
Komatsu, J., Nagura, N., Mogami, A., Iwase, H., Kaneko, K."Seven‑year follow‑up for malrotation of a radial diaphysis fracture in a child corrected by osteotomy for loss of motion: A case report". Experimental and Therapeutic Medicine 18, no. 4 (2019): 3009-3013. https://doi.org/10.3892/etm.2019.7932
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