Arch Hand Microsurg 2019; 24(2): 120-125  
Comparison of Pediatric Distal Radius Fracture Patterns according to Age
Kyung-Sub Song, Seung-Hwan Lee, Byeong-Mun Park, Su-Keon Lee, Bong-Seok Yang, Ji-Hyeon Kim
Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea
Correspondence to: Seung-Hwan Lee
Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, 36 Digital-ro, Gwangmyeong 14241, Korea
TEL: +82-2-2680-7699, FAX: +82-2-2680-7755, E-mail: java5885@gmail.com, ORCID: https://orcid.org/0000-0002-0432-3857
Received: December 11, 2018; Revised: January 30, 2019; Accepted: February 11, 2019; Published online: June 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: To compare demographic factors and radiologic parameters between metaphyseal fracture and physeal fracture of distal radius in children.
Methods: Forty-five children who visited our orthopedic clinic for distal radius fracture were included in this study from May 2010 to February 2017. Patients were divided into 2 groups which are metaphyseal fracture group and physeal fracture group. Demographic factors and radiologic parameters were compared between two groups. Mean age of all patients was 10.18±2.66 years old. There were 39 boys and 6 girls in all patients.
Results: Among all patients, 26 patients were diagnosed with metaphyseal fracture, 19 patients with physeal fracture. Complete fracture was most frequent in metaphyseal group and Salter–Harris type II fracture was most frequent in physeal group. Between simple metaphyseal group and physeal group, mean age, weight and height were significantly larger in physeal group. Ratio of patients over 10 years old was significantly higher in physeal group than metaphyseal group (p=0.036). There was no significant difference in radiologic and clinical results.
Conclusion: Physeal fracture occurs more frequently more than 10 years old. Postoperative radiologic result was not significantly different between two groups. In children with distal radius fracture over 10 years old, evaluation for the injury of growth plate are recommended.
Keywords: Distal radius fracture, Children, Physeal fracture, Metaphyseal fracture


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