Orthopedic plastic deformities

Background

• Limited to forearm and lower leg long bones
• The diaphysis of the long bone is deformed but the periosteum is preserved

Diagnosis

• X-ray findings are subtle (no fx line)
  • Will show abnormal curvature
  • Bowing or bending
  • Helpful to compare to uninvolved extremity

Treatment

• Ortho consult
  • Difficult to reduce (usually requires completion of the fx)
  • Proper reduction and realignment is essential