It occurs when a person falls forwards and plants their outstretched hand in front of them. This type of fracture typically occurs as a “ fragility fracture” in osteoporotic bone. Classification Colles’ FractureĪ Colles’ fracture* describes an extra-articular fracture of the distal radius with dorsal angulation and dorsal displacement, within 2cm of the articular surface. A FOOSH causes a forced supination or pronation of the carpus this in turn increases the impaction load of the distal radius. The distal radius takes 80% of the axial load underneath the scaphoid and lunate fossae. However, children between 5-15yrs are also prone to these fractures.
Due to osteoporosis, the risk of these fractures increases with age (termed ‘fragility fractures’). A cast or a splint may be placed to hold the bones in place.Distal radius fractures are most commonly caused by a fall on an outstretched hand (FOOSH). Your surgeon will first align the bones through an incision and use fixation devices such as pins or metal implants to hold the bones in place while the wound heals. Other conditions, such as broken skin, bone displacement, unstable fractures, misaligned bones, and bones healing in an improper position may also require surgical repair. Surgery may be necessary for severe fractures such as fractures of the growth plate or the joint. Surgical Treatment of Forearm Fractures in Children Immobilization for 6 to 10 weeks is recommended for more serious fractures. A splint or cast may be required for 3 to 4 weeks for a stable buckle fracture. For severe angled fractures, in which the bones have not broken through the skin, your doctor will align the bones properly without the need for surgery (closed reduction). Your child’s doctor will advise you to apply an ice pack over a thin towel on the affected area for 15-20 minutes 3-4 times a day, to relieve pain and swelling. Non-surgical therapy of Forearm Fractures in Children The treatment of forearm fractures in children is based on the location, type of fracture, degree of bone displacement and its severity. Treatment of Forearm Fractures in Children
Galeazzi fracture diagram skin#
Fractures may be open, where the bone protrudes through the skin or closed, where the broken bone does not pierce the skin. Types of Forearm Fractures in Childrenįorearm bones may break in many ways. Thus, if a fracture is suspected in a child, it is necessary to seek immediate medical attention for proper alignment of the bones. The healing of fractures in children is quicker than that in adults. The growth plate, which is made of cartilage (flexible tissue) is present at the ends of the bones in children and helps in the determination of length and shape of the mature bone. Apart from this, the bones in children are prone to a unique injury known as a growth plate fracture. Forearm fractures can occur near the wrist, near the elbow or in the middle of the forearm. The radius (bone on the thumb side) and ulna (bone on the little-finger side) are the two bones of the forearm.
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