Infrequent physeal wrist injury of the ulna and radius: a case report

Carbonell, Pilar; Rey, Eloisa Felíu; Vicente-Franqueira, Javier Roca; Trigueros, Antonio Perez

doi:10.1007/s11751-008-0046-8

Cited by 3 publications

(5 citation statements)

References 15 publications

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“…Despite not presenting with risk factors identified in the literature, this patient still went on to develop PPC. Other authors have previously reported this particular combination of a SH II fracture of the radius with SH IV fracture of the ulna progressing to premature ulnar arrest [2,12]. Our case therefore reinforces the importance of close follow-up in this type of injury.…”

Section: Discussionsupporting

confidence: 82%

Posttraumatic Distal Ulnar Physeal Arrest: A Case Report and Review of the Literature

Chimenti

Hammert

2012

Hand (New York, N,Y.)

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We report the case of a 12-year-old male who sustained a Salter-Harris (SH) type IV physeal fracture of the distal ulna and a SH type II fracture of the distal radius. At 34 months later, he presented with activity-related wrist pain and ulnar variance of -17 mm. He successfully underwent ulnar distraction osteogenesis with radial closing wedge osteotomy. At 16-month follow-up, the patient denied wrist pain with activity, and imaging demonstrated ulnar variance of -3 mm. Epiphyseal fracture separations of the distal radius and ulna have the potential to cause early growth arrest and may become symptomatic as a result. High-energy mechanism, open fracture, number of reduction attempts, and age at injury can all increase the risk of premature closure. Therefore, we recommend longitudinal follow-up of patients with these injuries as earlier intervention may improve outcomes. When premature physeal closure is discovered early, treatment may include resection of the physeal bar, osteotomy with or without epiphysiodesis, and distraction osteogenesis.

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Section: Discussionsupporting

confidence: 82%

Posttraumatic Distal Ulnar Physeal Arrest: A Case Report and Review of the Literature

Chimenti

Hammert

2012

Hand (New York, N,Y.)

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“…Four of the articles described interposition of soft tissue between the fracture fragments, making closed reduction impossible. Interposition of the extensor carpi ulnaris, joint capsule, and periosteum has been described [6][7][8][9]17]. Repeated attempts of reduction and pinning increase chances of PPC [1,4].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment consists of anatomic reduction to maximize chances for continued growth [5]. Closed reduction is often unsuccessful due to soft tissue interposition, so this type of fracture is generally stabilized with open reduction and fixation [6][7][8][9]. Growth disturbances due to premature closure of the physeal plate following fracture of the distal ulna are frequent [10].…”

Section: Introductionmentioning

confidence: 99%

Reduction of an Unusual Salter-Harris Type IV Fracture of the Ulna

Marrannes

Lambrecht

Decramer

2020

Case Reports in Orthopedics

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We report the case of a 14-year-old boy with an isolated Salter-Harris type IV physeal fracture of the distal ulna. Following failed closed reduction, transition to open reduction and pin fixation was required. Six-month follow-up showed a favourable clinical evolution. Evidence suggests that long-term follow-up is needed because of the increased risk of premature physeal closure and subsequent growth disturbances associated with this type of injury.

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“…Walsh et al reported that 4% of all wrist injuries presented with Galeazzi injuries [ 8 ]. Some authors have recommended routine CT and MRI scans for these injuries with high index of suspicion [ 3 ]. The anatomic reduction of the ulnar injury is paramount for the integrity of the distal radioulnar joint.…”

Section: Discussionmentioning

confidence: 99%

“…We found many articles describing injuries to the distal radial epiphysis in isolation and some with associated ulnar physeal injuries. There was only one case report of combined injury with a type 2 injury to the radius epiphysis and a type 4 injury to the ulnar epiphysis [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Combined Radial and Ulnar Epiphyseal Injury at the Wrist: A Rare Case

Reddy

Sharaph

2020

Cureus

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Epiphyseal injury involving both the radial and ulnar epiphysis at the wrist is rare and presents a diagnostic and therapeutic challenge. We report a case of a young adolescent female who presented with such an injury after a fall. She had a Salter-Harris Type 2 epiphyseal injury involving the distal end of both the radius and ulna. She was treated with gentle manipulation under anesthesia and stabilization with K-wires. We recommend early reduction with gentle manipulation for these injuries. The case is presented for its rarity and we have described our preferred treatment. Complications of these injuries involve growth disruption with possible length discrepancy between the radius and ulna, deformities, injury to the triangular fibrocartilagenous complex and rarely median neuropathy.

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Infrequent physeal wrist injury of the ulna and radius: a case report

Cited by 3 publications

References 15 publications

Posttraumatic Distal Ulnar Physeal Arrest: A Case Report and Review of the Literature

Posttraumatic Distal Ulnar Physeal Arrest: A Case Report and Review of the Literature

Reduction of an Unusual Salter-Harris Type IV Fracture of the Ulna

Combined Radial and Ulnar Epiphyseal Injury at the Wrist: A Rare Case

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