Olecranon fractures in children: treatment of a rare entity.
Background: Olecranon fractures are a rare entity in children. The classification and treatment strategies are still discussed controversially. Methods: A retrospective chart review of all patients < 17 years admitted with an olecranon fracture at a Level I Trauma Center between 2005 and 2017 has be...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 5; pp. 3429 - 3438 |
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| Autores principales: | , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159499486&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159499486 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Oct2022 vid: 48 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159499486 147211595 159499486 159499486 10.1007/s00068-020-01518-7 159499486 ppf: 3429 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Olecranon fractures in children: treatment of a rare entity. aug: au: Kalbitz, Miriam Weber, Birte Lackner, Ina Beer, Meinrad Pressmar, Jochen affil: Department of Traumatology, Hand-, Plastic- and Reconstructive Surgery, Center of Surgery, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany sug: subj: Elbow Fractures Therapy Elbow Fractures Classification Decision Making, Clinical Fracture Fixation Methods Human Rare Diseases Child Retrospective Design Record Review Comparative Studies T-Tests Child, Preschool Analysis of Variance Descriptive Statistics Conservative Treatment Adolescence Child: 6-12 years Child, Preschool: 2-5 years Adolescent: 13-18 years ab: Background: Olecranon fractures are a rare entity in children. The classification and treatment strategies are still discussed controversially. Methods: A retrospective chart review of all patients < 17 years admitted with an olecranon fracture at a Level I Trauma Center between 2005 and 2017 has been performed. 46 subjects were included. For classification of olecranon fractures in children the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO-PCCF) was used. Fractures were classified along the fracture line, dislocation, joint involvement and affection of the apophysis. For statistical analysis, a comparison of two groups was performed using Student t test. One-way ANOVA and Tukey's multiple comparison test was used to identify differences between more than two groups. For all analysis p ≤ 0.05 was considered statistically significant. Results: The mean age of the children was 8.5 years (2–16 years). Most children were treated with a conservative therapy (n = 29, 63.0%). 17 patients (36.9%) underwent osteosynthesis (plate or tension band wiring) of which three were initially treated with a conservative therapeutic approach. Children with operative treatment were significantly older compared to children treated conservatively. Interestingly, all patients with luxation were characterized by an oblique fracture line, one of them extraarticular, three intraarticular. Conclusion: Taken together, this study analyzed one of the largest selections of pediatric patients with olecranon fracture in regard to fracture type and treatment strategy. Based on the assumption that treatment strategies follow a fracture classification, a consistent classification method is needed which should take into account fracture morphology and localization, as considered by the AO-PCCF, and the dislocation as measured by Braque. Surgical treatment is needed in case of dislocation ≥ 5 mm, intra-articular fractures, instable fracture conditions caused by the fracture line, open fractures and the affection of the apophysis. Otherwise, the conservative treatment shows insufficient results in the elbow mobility. The reliable choice of treatments based on our classification was mirrored by the very low rate of conversion of treatment strategies. Level of evidence: Level III-retrospective comparative study. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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