Foot fractures in children

Metatarsal fractures make up the greatest portion of foot fractures in children. Most of them are treated with closed reduction and non-weightbearing cast immobilization.Usually, these fractures heal uneventfully and delay union and pseudoarthrosis are rare. We report a case of a 10-year-old child with non-union of the second metatarsal following a traumatic fracture, caused by an accident 10 months before, and treated successfully by osteosynthesis with plate and screws. Good clinical outcome was achieved at 2 years follow-up.

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Outpatient treatment of calcaneus fractures in children

Kazan medical journal ◽

10.17816/kazmj59802 ◽

1982 ◽

Vol 63 (1) ◽

pp. 46-46

Author(s):

G. K. Loginov ◽

V. A. Kuzmin

Keyword(s):

Outpatient Treatment ◽

Trauma Center ◽

Direct Trauma ◽

Articular Surfaces ◽

Fractures In Children ◽

Stationary Conditions ◽

The Right ◽

Foot Fractures ◽

Calcaneus Fractures

In the trauma center from 1973 to 1979, 80 cases of fractures of the heel bones in children were registered. Since both calcaneus were injured in 4 victims, the number of fractures was 84, or 1.0% of all fractures and 10.9% of foot fractures in children aged 1 to 15 years. 73 children with calcaneus injuries are boys. There were only 12 children under the age of 7, the rest were older. In all children, fractures occurred as a result of direct trauma: in 73 from a fall from a height and in 7 from a blow or compression of the heel region. The right and left heel bones were injured equally often. Significant displacement of fragments of the calcaneus with damage to its articular surfaces in children is relatively rare. We identified such fractures in 8 patients. Their treatment, as well as those of victims with fractures of both calcaneus bones, was carried out in stationary conditions.

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Open or Closed Pinning for Distal Humerus Fractures in Children?

Swiss Surgery ◽

10.1024/1023-9332.9.2.76 ◽

2003 ◽

Vol 9 (2) ◽

pp. 76-81 ◽

Cited By ~ 12

Author(s):

de Buys Roessingh ◽

Reinberg

Keyword(s):

Distal Humerus ◽

Neurological Involvement ◽

Cubitus Varus ◽

Cubitus Valgus ◽

Fractures In Children ◽

Motor Deficiency ◽

Humerus Fractures ◽

Distal Humerus Fractures ◽

With Screws ◽

Length Of Hospitalization

Introduction: In children, the choice between percutaneous pinning (PP) and open pinning fixation (OPF) for the surgical treatment of fractures of the distal humerus remains controversial, especially the PP method for internal humeral condylar (IHC) fractures. Patients and methods: Eighty fractures of the distal humerus in children were treated surgically in our hospital over a ten year period. 47% (n = 38) were supracondylar (SC), 20% (n = 16) comminuted (COM), 18% (n = 14) internal humeral condylar (IHC), and 15% (n = 12) lateral humeral condylar (LHC). We used PP, OPF and three times osteosynthesis with screws. Results: In comparison to OPF, PP reduced the length of hospitalization in SC fractures (2.8 versus 6.1 days) and IHC fractures (2.4 versus five days). It reduced the risk of extension deficiency (11.1% versus 15%) and of cubitus valgus (0% versus 20%) in SC fractures, and of cubitus varus in IHC fractures (0% versus 11.1%). However it induced a higher rate of cubitus valgus (11.1% versus 20%) in IHC fractures, one persistent neurological motor deficiency (radial nerve) and four cases of transitional neurological involvement (ulnar nerve). Conclusions: PP is a good surgical method for SC and for also for IHC fractures, if performed by experienced surgeons so as to avoid neurological damage.

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