Abstract
A 15-year-old otherwise healthy, right-hand dominant male fell on his outstretched arm sustaining a displaced, left Salter-Harris type II distal radius physeal fracture. The fracture underwent successful closed reduction under conscious sedation in the emergency department with application of a well-molded long-arm cast. He was seen for clinical and radiographic follow-up at 10 days with maintained, acceptable reduction. At his 3-week follow-up visit, he was converted to a short-arm cast. The fracture went onto union with satisfactory alignment in 6 weeks. At the last follow-up, he had both a good clinical and radiographic outcome, without physeal arrest or residual deformity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References and Suggested Readings
Abzug JM, Little K, Kozin SH (2014) Physeal arrest of the distal radius. J Am Acad Orthop 22:381–389
Bohm ER, Bubbar V, Yong Hing K, Dzus A (2006) Above and below-the-elbow plaster casts for distal forearm fractures in children. A randomized controlled trial. J Bone Joint Surg Am 88(1):1–8
Cannata G, De Maio F, Mancini F, Ippolito E (2003) Physeal fractures of the distal radius and ulna: long-term prognosis. J Orthop Trauma 17(3):172–179
Chess DG, Hyndman JC, Leahey JL et al (1994) Short arm plaster cast for distal pediatric forearm fractures. J Pediatr Orthop 14:211–213
Halanski MA, Halanski AD, Oza A, Vanderby R, Munoz A, Noonan KJ (2007) Thermal injury with contemporary cast-application techniques and methods to circumvent morbidity. J Bone Joint Surg Am 89(11):2369–2377
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(5):472–476
Lee BS, Esterhai JL Jr, Das M (1984) Fracture of the distal radial epiphysis: characteristics and surgical treatment of premature post-traumatic epiphyseal closure. Clin Orthop Relat Res 185:90–96
Webb GR, Galpin RD, Armstrong DG (2006) Comparison of short and long arm plaster casts for displaced fractures in the distal third of the forearm in children. J Bone Joint Surg Am 88(1):9–17
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this entry
Cite this entry
Ottomeyer, C., Iobst, C.A. (2020). Physeal Fracture of the Distal Radius. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_152
Download citation
DOI: https://doi.org/10.1007/978-3-319-29980-8_152
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29979-2
Online ISBN: 978-3-319-29980-8
eBook Packages: MedicineReference Module Medicine