EPIDEMIOLOGY, CLASSIFICATION, AND TREATMENT OF BILATERAL FRACTURES OF THE DISTAL RADIUS

• Published in: Acta ortopedica brasileira Vol. 30; no. 3; p. e245185
• Main Authors: de Alencar Neto, Jonatas Brito, Jales, Caio da Silveira, Coelho, José Victor de Vasconcelos, de Souza, Clodoaldo José Duarte, Cavalcante, Maria Luzete Costa
• Format: Journal Article
• Language: English
• Published: Brazil ATHA EDITORA 01-01-2022; Sociedade Brasileira de Ortopedia e Traumatologia
• Subjects: Clinical Study; Epidemiology; Original; ORTHOPEDICS; Radius Fractures; Wrist Injuries; Radius Fractures; Clinical Study; Epidemiology; Wrist Injuries; Fraturas do Rádio; Traumatismos do Punho; Estudo Clínico; Epidemiologia
• ISSN: 1413-7852; 1809-4406; 1809-4406
• DOI: 10.1590/1413-785220223003e245185

To study epidemiology, fracture pattern, associated injuries, and treatment of individuals with bilateral distal radius fracture, in a tertiary hospital.
Retrospective cross-sectional study developed based on patients with bilateral distal radius fracture from January 2012 to November 2017. Demographic data, trauma mechanism, radiological patterns, degree of deviation, associated injuries, classification of fractures according to the Association of Osteosynthesis (AO), the Salter-Harris (SH) and Frykman scales, and type of treatment used in each case.
13 cases were included in the trial, 10 adults and three children. In infants, the mean age was 9.6 years (7-11 years), and low-energy trauma was described in all these cases. In total, 66.6% of the children presented the SHII classification . In adult patients, the mean age observed was 43.5 years (27-56 years), with high-energy trauma reported in four (40%) cases. The AO 23C.3 and 23B.2 classifications were the most prevalent in adults.
In adult individuals, there was a higher incidence of open fractures, wrist joint involvement, ulna fracture, and concomitant injuries, with high-energy trauma observed only in this group, corresponding to half of the cases.