Pediatr. praxi 2019; 20(4): 255-257 | DOI: 10.36290/ped.2019.051

Fracture of both the forearm bones of the bowing fracture character

prof. MUDr. Vladimír Mihál, CSc.1,2, MUDr. Jaromír Freiwald3, MUDr. Kamila Michálková4
1 1Ústav molekulární a translační medicíny LF UP Olomouc
2 2Dětská klinika LF UP a FN v Olomouci
3 3Traumatologická klinika LF UP a FN v Olomouci
4 4Radiologická klinika LF UP a FN v Olomouci

A six-year-old girl, after tripping over running and falling on her outstretched left hand, experienced severe pain with a significant
limitation of limb momentum. Both bones of the forearm showed a distinct arcuate deformity, visible in pronation and supination.
The radiologist described the X-ray arched deformation of both forearm bones without finding a fracture line. A diagnosis of bowing
fracture was made and after the reduction of angulation under general anesthesia the left hand was fixed with a high plaster bandage.

Keywords: child, forearm fracture, bowing fracture

Published: September 1, 2019  Show citation

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Mihál V, Freiwald J, Michálková K. Fracture of both the forearm bones of the bowing fracture character. Pediatr. praxi. 2019;20(4):255-257. doi: 10.36290/ped.2019.051.
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References

  1. Rodrigéz-Merchán EC. Pediatric fractures of the forearm. Clin Orthop Relat Res 2005; 432: 65-72. Go to original source...
  2. Wilkins KE. Principles of fracture remodeling in children. Injury Int J Care Injured 2005;36:S-A3-S-A11. Go to original source... Go to PubMed...
  3. Ryan LM, Teach SJ, Searcy K, et al. Epidemiology of pediatric forearm fractures in Washington, DC. J Trauma 2010; 69(4 Suppl): 200-205. Go to original source... Go to PubMed...
  4. Borden SIV. Roentgen recognition of acute plastic bowing of the forearmin children. Am J Roentgenol 1975; 125: 524-530. Go to original source... Go to PubMed...
  5. Gilled A, Biiyiikbebeci O. Traumatic bowing of the forearm in a child. Europ J Radiol 1996; 23: 247-249. Go to original source... Go to PubMed...
  6. Attia MV, Glasstetter DS. Plastic bowing type fracture of the forearm in two children. Ped Emerg Care 1997; 13(6): 392-393. Go to original source... Go to PubMed...
  7. Marikar D, Akhtar J. A classic case of a plastic bowing deformation. J Pediatr 2013; 162: 434. Go to original source... Go to PubMed...
  8. Chamay A, Tschantz P. Mechanical influences in bone remodelling. Experimental research on Wolff's law. J. Biomechanics 1972; 5: 173-180. Go to original source... Go to PubMed...
  9. Miller C, Grainger AJ, Phillips RS, et al. Bowing fracture of the inferior angle of the scapula, a difficult diagnosis. Pediatr Radiol 2018; 48: 146-149. Go to original source... Go to PubMed...
  10. Neumnn L. Acute plastic bowing fractures of both the tibia and the fibula in a child. Injury 1990; 21(2): 122-123. Go to original source... Go to PubMed...
  11. Neumnn L. Acute plastic bowing fractures of both the tibia and the fibula in a child. Injury 1990; 21(2): 122-123. Go to original source... Go to PubMed...
  12. Cheema JI, Grissom LE, Harcke HT. Radiographic characteristics of lower-extremity bowing in children. RadioGraphics 2003; 23: 871-880. Go to original source... Go to PubMed...
  13. Yamamoto LG. Reduction of bowing forearm fractures in the ES under propofol sedation. Am J Emerg Med 2012; 30: 249.e1-249.e4. Go to original source... Go to PubMed...
  14. Anderson IF, Hume KF, Chong AL. Plastic bowing of the forearm in the more mature skeleton. Aust N Z J Surg 1994; 64(2): 132-134. Go to original source... Go to PubMed...
  15. Vorlat P, DeBoeck H. Bowing fractures of the forearm in children: a long-term followup. Clin Orthop Relat Res 2003; 413: 233-237. Go to original source... Go to PubMed...
  16. Grym J, Floderová M, Halašková V, et al. Méně obvyklé úrazy a otravy - kazuistiky. Pediatr praxi 2016; 17(3):177-181. Go to original source...
  17. Berteau J-P, Gineyts E, Pithioux M, et al. Ratio between mature and immature enzymatic cross-links correlates with post-yield cortical bone behaviour: An insight into greenstick fractures of the child fibula. Bone 2015; 79: 190-195. Go to original source... Go to PubMed...




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