Tag Archive for: Adolescent

Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

Volume 9 | Issue 2 | May-August 2023 | Page: 10-15 | Raghavendra S. Kulkarni, SriRam R. Kulkani

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.165

Submitted: 14/05/2023; Reviewed: 28/05/2023; Accepted: 29/06/2023; Published: 10/08/2023

Authors: Raghavendra S. Kulkarni MS Ortho [1], SriRam R. Kulkani MS Ortho [2]

[1] Department of Orthopaedics, SSPM Medical College & Lifetime Hospital, Padve, Sindhudurg, Maharashtra, India.
[2] Department of Orthopaedics, ACPM Medical College & Hospital, Dhule, Maharashtra, India.

Address of Correspondence

Dr. Raghavendra S. Kulkarni,
Professor of Orthopaedics & Medical Superintendent, SSPM Medical College & Lifetime Hospital, Padve, 415634 Sindhudurg, Maharashtra, India.
E-mail: rskulkarnics53@gmail.com

Abstract

Introduction: A significant asynchrony between statural growth rate and mineral mass accrual may contribute to the increased prevalence of low-energy fractures observed during puberty. This disparity is most pronounced when the compact bone of the radius exhibits a temporary surge in porosity concurrent with the most rapid phase of linear growth.
Materials & Methods: The district hospital, Sindhadurg complete medical records are used to identify all distal radius fracture younger than 18 years, treated during 2000 to 2011. The medical record linkage system of regular and periodical school health medical examination performed by medical officers tested biannually, anthropometrically, physiologically and clinically for whole district children provides the unique data on velocity of growth. This demographic data of distal radius fracture in children and adolescents are compared with, documentation of longitudinal velocity of growth of the same children that was collected during the identical time period for children from the same student population of Sindhudurg.
Results: After adjusting for age and sex, the annual incidence rates per 100,000 population showed a statistically significant increase from 2.8 (95% CI 2.4-3.3) in 2000, to 6.3 (95% CI 5.7-6.9) in 2006, and 12.7 (95% CI 11.9-13.4) in 2011. The average age for peak growth velocity was 14.2 years in boys and 12.6 years in girls, according to the Government of Maharashtra’s school health program. Notably, the incidence of fractures peaked at ages 13.1 to 15.2 in boys and 11.4 to 13.8 in girls.
Conclusion: This long term data for the whole Sindhudurg district indicates a correlation between the peak incidence of distal radius fractures and the age of maximum growth velocity in both boys and girls, suggesting a potential vulnerability during this critical growth phase.
Keywords: Distal radius fracture in children, adolescent, puberty, growth spurt, longitudinal velocity of growth.

References

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How to Cite this Article:  Kulkarni RS, Kulkani SR |  Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011) | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 10-15 | https://doi.org/10.13107/ijpo.2023.v09.i02.165

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Surgical and Medical Management of Deformity and Non-union with Implant Failure of Femur in OI Type III

Volume 8 | Issue 1 | January-April 2022 | Page: 35-42 | Sanjay Chhawra, Raman Jain, Unus Ahmed, Nimish Agarwal, Rajiv Chaubey, Gaganpreet Singh
DOI-10.13107/ijpo.2022.v08i01.132

Authors: Sanjay Chhawra D Ortho., DNB Ortho. FICS, Raman Jain MS Ortho., Unus Ahmed MS Ortho., Nimish Agarwal MS Ortho., Rajiv Chaubey MS Ortho., Gaganpreet Singh MS Ortho.

[1] Department of Orthopedics, Jaipur Golden Hospital, Rohini, Delhi, India.

Address of Correspondence
Dr. Sanjay Chhawra
Department of Orthopedics, Jaipur Golden Hospital, Rohini, Delhi, India.
E-mail: sanjaychhawra@yahoo.com

Abstract

Purpose: Osteogenesis imperfecta (OI) is characterized by increased bone fragility and susceptibility for fracture because of the mutation of genes. A few studies are there for treatment modalities of non-union femur fractures in children with OI. This study on adult OI patients aims to give insight into non-unions and their best treatment reporting the surgical modification by using a humeral nail for femoral fixation options to avert non-union. Best implant in the adolescent OI patients for the surgical reconstruction of the femur for correction of deformity healing non-union.
Methods: This is a retrospective, descriptive study of the OI type III fracture non-union and its treatment modality.
Conclusions: In Adolescent OI patients with the rare percentage of non-union with deformity with implant failure of the femur was fixed with Humerus nail having stable fixation deformity correction by both osteotomy rotational translational and conversion of non-union to union with a better result.
Keywords: Osteogenesis imperfecta (OI), TENS Tensile Elastic Nail System, Adolescent, Humeral nail, Femoral bowing deformity

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How to Cite this Article:  Chhawra S, Jain R, Ahmed U, Agarwal N, Chaubey R, Singh G | Surgical and Medical Management of Deformity and Non-union with Implant failure of Femur in OI Type III | International Journal of Paediatric Orthopaedics | January-April 2022; 8(1): 35-42.

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A Rare Unreported Case of Comminuted Bicondylar Hoffa’s Fracture

Volume 7 | Issue 3 | September-December 2021 | Page: 23-25 | Gaurav Gupta, Qaisur Rabbi, Maulin Shah, Vikas Bohra
DOI-10.13107/ijpo.2021.v07i03.118

Authors: Gaurav Gupta MS Ortho. [1], Qaisur Rabbi D Ortho. [1], Maulin Shah MS Ortho. [1], Vikas Bohra DNB Ortho. [1]

[1] Department of Orthopaedic, OrthoKids Clinic, Ahmedabad, Gujarat, India.

Address of Correspondence
Dr Maulin Shah
Consultant Paediatric Orthopaedic Surgeon, OrthoKids Clinic, Ahmedabad, Gujarat, India.
E-mail: maulinmshah@gmail.com

Abstract

A coronal plane fracture of the distal femur (Hoffa’s fracture) is very uncommon and usually occurs as a consequence of high velocity trauma. Bicondylar involvement of coronal femoral fractures is even less common, especially in children. To our knowledge, this is the first case report of a comminuted bicondylar Hoffa’s fracture in the paediatric age group managed by low profile solid locking screws.
A fourteen-year-old boy was referred with complaints of pain, swelling and deformity of the left knee after a fall from a height of approximately 10 feet. Clinical examination of the left knee revealed swelling and effusion with a low-lying patella and multiple superficial abrasions. X-ray of the left knee revealed bicondylar Hoffa’s fracture (Letenneur type III, Salter Harris type III). Computed tomography (CT) revealed a comminuted non-conjoint bicondylar Hoffa’s fracture with a low-lying patella. The fracture was approached through an anterior midline incision. Extensor mechanism of the knee was found intact. Fracture fragments were reduced anatomically and held in compression with long ball-tipped clamps. Four screws were placed in an antero-posterior (two screws for each condyle) and two screws in a medio-lateral direction to achieve a strong fixation construct. The screws were kept entirely in the epiphysis. At 12 months follow-up, the patient was walking with a normal gait, and full extension and 90 degrees of flexion at the knee. Quadricepsplasty was performed at 1 year to improve knee flexion. At final follow up of 2 years, he had full range of knee motion with no functional limitation.
Keywords: Hoffa’s, Bicondylar, Adolescent, Comminuted, Quardricepsplasty

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How to Cite this Article:  Gupta G, Rabbi Q, Shah M, Bohra V | A Rare Unreported Case of Comminuted Bicondylar Hoffa’s Fracture | International Journal of Paediatric Orthopaedics | September-December 2021; 7(3): 23-25.

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