Jiang YK, Wang YB, Peng CG, Qu J, Wu DK. First case of forearm crisscross injury in children: A case report. World J Clin Cases 2021; 9(25): 7478-7483 [PMID: 34616815 DOI: 10.12998/wjcc.v9.i25.7478]
Corresponding Author of This Article
Dan-Kai Wu, MA, Chief Doctor, Department of Orthopedics, The Second Hospital of Jilin University, No. 218 Ziqiang street, Changchun 130000, Jilin Province, China. wdk@jlu.edu.cn
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2021; 9(25): 7478-7483 Published online Sep 6, 2021. doi: 10.12998/wjcc.v9.i25.7478
First case of forearm crisscross injury in children: A case report
Yi-Kun Jiang, Yan-Bing Wang, Chuan-Gang Peng, Ji Qu, Dan-Kai Wu
Yi-Kun Jiang, Yan-Bing Wang, Chuan-Gang Peng, Ji Qu, Dan-Kai Wu, Department of Orthopedics, The Second Hospital of Jilin University, Changchun 130000, Jilin Province, China
Author contributions: Jiang YK, Wu DK, and Wang YB reviewed the literature and contributed to manuscript drafting; Peng CG and Qu J contributed to manuscript drafting; Jiang YK made critical revisions related to important intellectual content, and analyzed and interpreted the imaging findings; all authors issued final approval for the version to be submitted.
Informed consent statement: Written informed consent was obtained from the patient’s parents for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors have nothing to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dan-Kai Wu, MA, Chief Doctor, Department of Orthopedics, The Second Hospital of Jilin University, No. 218 Ziqiang street, Changchun 130000, Jilin Province, China. wdk@jlu.edu.cn
Received: January 5, 2021 Peer-review started: January 5, 2021 First decision: May 11, 2021 Revised: May 23, 2021 Accepted: July 16, 2021 Article in press: July 16, 2021 Published online: September 6, 2021 Processing time: 237 Days and 20.3 Hours
Abstract
BACKGROUND
Forearm crisscross injury is rare in children; there is no relevant literature so far. Surgeons lack experience and knowledge in treating this type of crisscross injury. We report a case of forearm crisscross injury in a child for the first time and analyze its mechanism.
CASE SUMMARY
An 8-year-old boy experienced pain in his left forearm when he accidentally fell while skateboarding. Physical examination revealed swelling and deformity of the left forearm. We performed imaging and the results revealed left radial head dislocation, left distal radial epiphyseal separation from the shaft, and interruption of the continuity of the dorsal cortex of the left distal ulna. Anteroposterior and lateral X-ray films showed that the radius and ulna were crisscrossed. A diagnosis of superior radioulnar joint dislocation, left distal radial epiphyseal injury, and left distal ulnar fracture was made. After unsuccessful manual reduction, we adopted a minimally invasive procedure and succeeded. After a 14-wk period of follow-up, the patient had good left upper limb function, no complaints of pain or limited range of motion, and good follow-up results.
CONCLUSION
This is the first report of a child with a forearm crisscross injury in which the mechanism and the differences from adult crisscross injury are analyzed. Minimally invasive surgery with intramedullary fixation can achieve a good therapeutic effect. This case provides a reference for the treatment of similar patients in the future.
Core Tip: Forearm crisscross injury is rare in children; there is no relevant literature so far. This case highlights the first pediatric case of a forearm crisscross injury and analyze its differences in the mechanism from injury in adult patients, which could improve the understanding of forearm crisscross injury in children.
