Abstract
A 10-year-old right-hand-dominant female sustained a fall onto her left arm and presented with a closed left Salter Harris II fracture of her distal radius with a volar shear component. This fracture pattern is better defined in adult patients and almost always necessitates surgery in the adult population because of the inability to maintain reduction in a closed manner. An attempt at closed reduction was performed in this case; however, it did not achieve satisfactory alignment. Open reduction and pinning of the fracture was performed. Pins were removed in the office at 4 weeks, and at 8 weeks postoperatively, she had full range of motion of her wrist. At 18 months postoperatively, there was no radiographic or clinical signs of a physeal bar or growth arrest.
References and Suggested Reading
Abzug JM, Little K, Kozin SH (2014) Physeal arrest of the Distal radius. J Am Acad Orthop Surg 22(6):381–389
Houshian S, Holst AK, Larsen MS, Torfing T (2004) Remodeling of salter-Harris type II epiphyseal plate injury of the distal radius. J Pediatr Orthop 24:472–476
Stutz C, Waters PM (2009) Fractures and dislocations of the forearm, wrist, and hand. In: Mencio GA, Swiontkowski MF (eds) Green’s skeletal trauma in children. Elsevier Saunders, Philadelphia, pp 142–181. Print
Waters PM, Bae DS (2010) Fractures of the distal radius and ulna. In: Beaty JH, Kasser JR (eds) Rockwood and Wilkins’ fractures in children. Lippincott Williams and Wilkins, Philadelphia, pp 292–346. Print
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Ludwig, M., Ty, J.M. (2018). Volar Shear Fractures of the Distal Radius. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_47-1
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DOI: https://doi.org/10.1007/978-3-319-28226-8_47-1
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-28226-8
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