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Trauma Mon. 2018;23(5): e63088.
doi: 10.5812/traumamon.63088

Scopus id: 85054069514
  Abstract View: 33
  PDF Download: 17

Case Report

Longitudinal Overgrowth of the Forearm After Fracture Fixation with Flexible Intramedullary Nail: A Case Report and Review of the Literature

Alireza Rouhani 1, Ali Tabrizi 2 * , Ahmadreza Afshar 2, Asghar Elmi 1

1 Department of Orthopedics, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
* Corresponding author: Department of Orthopedics, Imam Khomeini Educational Hospital, Urmia University of Medical Sciences, Moderres Ave, Urmia, Iran. Tel: +98-9143130829, E-mail: Email: ali.tab.ms@gmail.com

Abstract

Introduction: Pediatric forearm fracture is one of the most common upper extremity fractures in young sters. The treatment is often non-surgical. In patients, who need surgical intervention, intramedullary nails are used. Growth disturbances in long bones of the lower extremity occur in youngsters however. Longitudinal overgrowth is very rare in the upper extremity.

Case Presentation: This report presents a five-year-old child, who had radius and ulna shaft fracture in the distal one third of his forearm. This child was treated with radius fracture fixation by flexible intramedullary nails. After six months, the child had wrist pain and limitation in range of motion. On the radiography, 4 mm increase in radius was observed.

Conclusions: Overgrowth of long bones after application of intramedullary nails is known in the lower extremity however it is uncommon in the upper extremity and the exact mechanism of this phenomenon has not yet been determined and needs further investigation.

Keywords: Pediatric Forearm Fracture, Bone Overgrowth, Intramedullary Nail
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Submitted: 07 Mar 2017
Revised: 11 Jan 2018
Accepted: 27 Jan 2018
First published online: 24 Jul 2018
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