Fractures in Children and Adolescents: Contemporary Injury Patterns and Factors Influencing Time to Union

Carpus


Scaphoid Fractures in Children and Adolescents: Contemporary Injury Patterns and Factors Influencing Time to Union


Gholson JJ, Bae DS, Zurakowski D, et al (Children’s Hosp Boston, MA) J Bone Joint Surg Am 93:1210-1219, 2011§



D.A. Zlotolow, MD



Evidence Ranking


• C



Expert Rating


• 3



Abstract



Background


Historically, scaphoid fractures in children and adolescents have predominantly involved the distal pole, requiring neither surgical care nor extended follow-up. Changing patient characteristics, however, appear to be altering fracture epidemiology and treatment. The purpose of this investigation was to characterize contemporary fracture patterns in children and adolescents and to identify factors influencing time to healing following both nonoperative and operative treatment.



Methods


A retrospective analysis of 351 scaphoid fractures that had been treated from 1995 to 2010 was performed to characterize fracture patterns. The mean patient age was 14.6   years (range, seven to eighteen years). Complete clinical and radiographic follow-up data were available for 312 fractures (89%), with 222 fractures presenting acutely and ninety not acutely. Union rates following casting or surgical treatment were determined, and Cox regression analysis was utilized to identify factors influencing both the union rate and the time to union.



Results

Related posts:

Default Thumbnailof a Method of 4-Corner Arthrodesis Using Headless Compression Screws Default ThumbnailHand: Bone and Ligament Default ThumbnailFractures of the Distal Radius: The Effects of Delayed Debridement and Immediate Internal Fixation on Infection Rates and the Need for Secondary Procedures Default Thumbnailof Olecranon Plate Fixation in Osteoporotic Bone: Do Current Technologies and Designs Make a Difference? Default Thumbnailof a Novel Bone-Tendon Allograft With a Human Dermis–Derived Patch for Repair of Chronic Large Rotator Cuff Tears Using a Canine Model in vivo engineered nerve conduit–fabrication and experimental study in rats

Stay updated, free articles. Join our Telegram channel
Tags:
Apr 2, 2016 | Posted by in Hand surgery | Comments Off on Fractures in Children and Adolescents: Contemporary Injury Patterns and Factors Influencing Time to Union

Full access? Get Clinical Tree
Get Clinical Tree app for offline access