R. Mund, M. Milzsch (Halle)  

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10 Years  

Male  

Arm-Bones  

physical  

10 year-old male. Fall on the left forearm, pain on pressure, swelling, crepitation, malalignment of the forearm.  

N/A  

<- view X-Ray 1

X-Ray 1: Left lower arm following accident, a-p.












<- view X-Ray 2

X-Ray 2: Left lower arm following accident, lateral.












<- view X-Ray 3

X-Ray 3: Findings after Prevot nailing of the left lower arm, a.p.












<- view X-Ray 4

X-Ray 4: Findings after Prevot nailing of the left lower arm, lateral.










 

Total constellation (Consens)  

N/A  

Treatment: closed reposition with complete piercing of the opposing corticalis.
Afterwards, elastic stable marrow splinting (ESMS) with intramedullary weight carriers (PREVOT-nails, 2.5 mm diameter).

Futher procedure: X-Ray follow up of the fracture about 4 weeks. After 3 months, renewed x-ray to confirm consolidation of the fracture, then removal of the osteosynthesizing material.  

Careful: In case of the opposing corticalis would not be pierced, an iatrogenic piercing must occur, otherwise there will be a malgrowth of about 20-25%.  

N/A  

N/A  

Forearm, shaft, radial, shaft fracture, fracture, ulna, greenstick fracture, child, childhood, pediatric radiology  

R Mund, M Milzsch. Forearm shaft fracture, left ( with radial shaft fracture and greenstick fracture of the ulna). PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020312082407