DOI: 10.36347/sjams.2013.v01i06.0087

Pages: 1064-1065

Isolated radial shaft fractures in children are unusual in clinical practice. If there is fracture the degree of angulation is measured and accordingly managed. An 11 years boy came to the casualty department with the history of fall on outstretched hand, diagnosed to have fracture shaft of radius. X ray examination of the right forearm revealed fracture of the midthird of the shaft of the radius, with volar angulation of 230 (180-157) and interosseous angle of 15.30(180-164.7) (Fig 2). Tried for closed reduction and immobilization under sedation, the reduction was not achieved. Patient was again operated by open reduction internal fixation of the fracture using dynamic compression plate and screws, and we corrected the angulation to near normal status. Postoperatively wound healed well, range of motion exercises started two days after the surgery and patient achieved full range of motion by two weeks. Radiologically the fixation was satisfactory and at four weeks fracture was united. In conclusion, isolated middle third fracture of radius in children below fourteen years with volar/ dorsal/interosseous membrane angulation of more than fifteen degrees and rotational angulation of more than thirty degrees should be managed by surgical methods to get the near normal anatomy of the bone to get near normal range of motion. And to get rid of cosmetic problems even a relatively small angular deformities, which are clinically significant to be corrected surgically.