Journal of pediatric orthopedics · 2012
Radius crossover sign: an indication of malreduced radius shaft greenstick fractures.
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Wright Patrick B, Crepeau Allison E, Herrera-Soto José A, Price Charles T
Аннотация
BACKGROUND: Radius shaft greenstick fractures in children can be a challenging injury to treat because angulation and rotational alignment are difficult to assess.
METHODS: In this report, we describe a simple method for analyzing the deformity and identifying rotational and angular malalignment. This technique involves analyzing the forearm radiographs as 2 segments, proximal and distal, and assuring that the rotational position of each matches the other.
RESULTS: We present 3 cases of proximal radius greenstick fractures in malalignment to demonstrate the radius crossover sign.
CONCLUSIONS: Identifying the radius crossover sign, and proceeding with further closed reduction may prevent deformity that could otherwise result in a significant loss of forearm motion.
LEVEL OF EVIDENCE: Level V.
METHODS: In this report, we describe a simple method for analyzing the deformity and identifying rotational and angular malalignment. This technique involves analyzing the forearm radiographs as 2 segments, proximal and distal, and assuring that the rotational position of each matches the other.
RESULTS: We present 3 cases of proximal radius greenstick fractures in malalignment to demonstrate the radius crossover sign.
CONCLUSIONS: Identifying the radius crossover sign, and proceeding with further closed reduction may prevent deformity that could otherwise result in a significant loss of forearm motion.
LEVEL OF EVIDENCE: Level V.