Distale Radiusfraktur im Wachstumsalter

Abstract

Fractures of the distal radius are the most common fractures in growing children. Injuries often occur during sports and playing. There is no actual peak of age. Most often metaphyseal fractures (including physeal separations) occur, while joint involving epiphyseal fractures are extremely rare. All typical versions of fractures of the growth period appear. The power of growth-associated spontaneous correction is enormous and even remains beyond the age of ten. The spectrum of treatment options includes purely conservative treatment, redression (plaster wedging), reduction and percutaneous k-wire stabilization. An open reduction of metaphyseal fractures is almost never necessary. There may be problems in stabilizing more proximal fractures of the metadiaphyseal transition. Inhibitional growth disturbances following a premature closure of the growth plate are rare, but, if they appear, they require a differentiated treatment concept. © 2014 Springer-Verlag Berlin Heidelberg.