FRACTURES OF THE DISTAL RADIUS IN CHILDHOOD. A CLINICAL CASE, Daniel Zhelev, Stoyan Hristov

Abstract:

Fractures of the distal radius account for approximately 25% of all fractures and about 
40% of upper limb fractures in childhood. Their significant clinical importance, as well as the 
possibility of different therapeutic approaches depending on the patient’s age in cases of similar 
injuries, necessitates a multifactorial approach. Examples of the possible types of conservative and 
operative treatment for various types of distal radius fractures in children are presented, along with 
the achieved functional outcomes in the short- and mid-term period, illustrated by a clinical case. 
The aim of the study is to compare the outcomes of operative and conservative treatment in similar 
types of traumatic injuries, as well as to assess the potential for bone remodeling. The possibility of 
achieving a good functional outcome in pediatric patients with malreduction following distal radius 
fractures, as a result of bone remodeling, determines the feasibility of different therapeutic 
approaches. 


Keywords: distal radius, pediatric fractures, upper limb, conservative treatment.

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