Proximal radius fracture

The proportion of brain fractures in children is relatively high. Once such a fracture occurs, you should go to the hospital for an X-ray examination and receive timely and effective treatment. There are many treatment methods, and surgery is a more important treatment method. In addition, you should strengthen your body's recovery after surgery, such as paying attention to diet and calcium supplementation. You should also understand some precautions after surgery. Let us learn about this aspect below.

Proximal radius fracture

Proximal radius fractures account for more than 1% of pediatric fractures and often occur in children whose epiphyses are close to closure, that is, between 9 and 14 years old. There were no significant differences between genders and left and right sides. The most commonly used classification at present is the Jeffrey classification (Table 12.41.8.1-0-1). Treatment includes: ① simple fixation without reduction; ② closed reduction by manipulation; ③ percutaneous reduction by poking; ④ intramedullary nail reduction by poking; ⑤ open reduction and internal fixation; ⑥ resection of the radial head or head fragments. Many factors determine the treatment approach, including the degree of fracture displacement, its relationship to other injuries, the child's age, and the time since injury. This section focuses on the methods of closed reduction and open reduction.

Surgical procedures

Straighten the affected elbow joint, and have the assistant hold the proximal end of the elbow joint with one hand and pull it proximally. The other hand must be placed on the inner side of the distal end of the humerus to apply force to the outer side of the elbow joint to open the elbow joint inward. The surgeon holds the forearm with one hand and applies traction distally, keeping the forearm in supinated position to relax the supinator and biceps; maintains the tension of the elbow joint in varus to overcome the displacement of the distal fracture end to the ulnar side, which is conducive to fracture reduction; the thumb of the other hand presses on the front of the radial head, flexes the elbow joint, and at the same time pronates the forearm as much as possible to reduce the radial head. Fluoroscopy confirmed the reduction of the radial head.

Postoperative care

After closed reduction of proximal radius fracture, the upper limb was fixed in a plaster posterior support with the elbow flexed 90° and the forearm pronated for 3 weeks. After the plaster support was removed, the joint movement was gradually resumed.