Volar Shear Fractures of the Distal Radius
- 86 Downloads
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
- 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. PrintGoogle Scholar
- 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. PrintGoogle Scholar