41-227
Deformación plástica del antebrazo: revisión y caso clínico
Plastic deformation of the forearm: reviewand case report
O. FERNÁNDEZ HERNÁNDEZ, S. SÁNCHEZ HERRÁEZ, D. GONZÁLEZ- ARABIO SANDOVAL, J. SÁNCHEZ LÁZARO, A.I. LOZANO MUÑOZ. SERVICIO DE COT HOSPITAL DE LEÓN. LEÓN.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Plastic bowing of a bone is a rare entity that sometimes
goes unnoticed. Its a typical injury in children, who
have more elastic bones than adults. Most of the plastic
bowing of the forearm take place by falls with an outstretched
arm, causing deformities, pain and a limitation of pronation
and supination. In order to reduce the curvature of the bone,
opposing forces to those that produced the injury are needed,
maintained for a long time. In children younger than 4 years,
with an enormous remodelling capacity, only great deformities
>20º should be reduced. For those older than 10 years,
with little remodelling capacity, angulations >10-15º must be
manipulated. The greatest complication derived from a bad
reduction is the limitation of the pronation and supination,
which in most cases does not modify the functionality of the
extremity.
goes unnoticed. Its a typical injury in children, who
have more elastic bones than adults. Most of the plastic
bowing of the forearm take place by falls with an outstretched
arm, causing deformities, pain and a limitation of pronation
and supination. In order to reduce the curvature of the bone,
opposing forces to those that produced the injury are needed,
maintained for a long time. In children younger than 4 years,
with an enormous remodelling capacity, only great deformities
>20º should be reduced. For those older than 10 years,
with little remodelling capacity, angulations >10-15º must be
manipulated. The greatest complication derived from a bad
reduction is the limitation of the pronation and supination,
which in most cases does not modify the functionality of the
extremity.
Palabras clave (ES):
verde
Deformidad
plástica
Cubito
Radio
Fractura
Antebrazo
Niño
Niñez
Infancia
Infantil
Antebrazo
Tallo
Resumen (EN)
Plastic bowing of a bone is a rare entity that sometimes
goes unnoticed. Its a typical injury in children, who
have more elastic bones than adults. Most of the plastic
bowing of the forearm take place by falls with an outstretched
arm, causing deformities, pain and a limitation of pronation
and supination. In order to reduce the curvature of the bone,
opposing forces to those that produced the injury are needed,
maintained for a long time. In children younger than 4 years,
with an enormous remodelling capacity, only great deformities
>20º should be reduced. For those older than 10 years,
with little remodelling capacity, angulations >10-15º must be
manipulated. The greatest complication derived from a bad
reduction is the limitation of the pronation and supination,
which in most cases does not modify the functionality of the
extremity.
goes unnoticed. Its a typical injury in children, who
have more elastic bones than adults. Most of the plastic
bowing of the forearm take place by falls with an outstretched
arm, causing deformities, pain and a limitation of pronation
and supination. In order to reduce the curvature of the bone,
opposing forces to those that produced the injury are needed,
maintained for a long time. In children younger than 4 years,
with an enormous remodelling capacity, only great deformities
>20º should be reduced. For those older than 10 years,
with little remodelling capacity, angulations >10-15º must be
manipulated. The greatest complication derived from a bad
reduction is the limitation of the pronation and supination,
which in most cases does not modify the functionality of the
extremity.
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