Proximal both-bone forearm fractures in children: factors predicting outcome

Conclusions: Most proximal both-bone forearm fractures in children, including olecranon and radial neck fractures, Monteggia type IV fractures, and nonspecific proximal both-bone forearm fractures, have good-to-excellent results. In our study, older age, defined as 10 yr of age or older at the time of injury, resulted in more frequent need for operative intervention, a higher rate of return to the operating room, and greater risk of nerve injury. The older children were not more likely to have range of motion deficits despite a more involved course, which contradicts previous reports, and older age at the time of injury did not necessarily predict poorer outcomes. Level of Evidence: Level IV, case series.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: SPECIAL FOCUS: Pediatric Orthopaedic Rotation Source Type: research