Isolated Salter-Harris Type IV Fracture of the Distal Ulna in a 12-Year-Old Boy

Kasis, Ata; Hekal, Waleed; Mubashir, Ahmed

doi:10.1007/s00068-004-1358-0

Cited by 7 publications

(2 citation statements)

References 12 publications

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“…Cannata et al, in a long-term, followup study, reported five such fractures in combination with distal radial metaphyseal fractures, but only one isolated ulnar injury, in a sample of 163 patients [3]. During our extensive literature research, we were able to identify only five cases, two of which were classified as Salter-Harris type IV, one as type III, and two as type II [4][5][6][7][8] (Table 1). In all five cases, the mechanism of injury was described as a fall on the outstretched hand from either a bike or a motorcycle, which is similar to the presented case.…”

Section: Discussionmentioning

confidence: 94%

“…The specific anatomical characteristics of the ulnar side of the wrist are thought to be protective for the ulnar epiphyseal plate. The triangular fibrocartilage complex is believed to act as a cushion between the ulna and the proximal carpal row [6]. Moreover, its wide attachment throughout the entire length of the ulnar styloid process propagates the traumatic deforming forces directly to the styloid process, rather than the epiphyseal plate [9].…”

Section: Discussionmentioning

confidence: 99%

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Isolated Salter-Harris Type II Fracture of the Distal Ulna

Mitrousias¹,

Amprazis²,

Baltas³

et al. 2021

Cureus

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Isolated distal ulna epiphyseal plate injuries are very rare and are often associated with early epiphyseal plate arrest. A 13-year-old boy sustained an isolated minimally displaced Salter-Harris type II fracture of the left distal ulna following a fall from a bicycle. The fracture was reduced, and a long arm plaster cast was applied for four weeks. At the six-month follow-up, the patient presented with a painless, full range of movement of the left wrist, but on radiological examination, a mild shortening of the ulna was detected. We plan to regularly evaluate this patient until distal epiphyseal plate closure and surgically intervene if necessary. To our knowledge, this is the third Salter-Harris type II distal ulnar fracture ever reported, and the second treated nonoperatively. It was shown to be associated with a mild growth disturbance. Although Salter-Harris type II injuries are considered benign, surgeons should closely evaluate this rare type II isolated distal ulnar fracture and inform parents regarding possible future complications, which range from clinically insignificant cosmetic deformity to severe instability of the distal radioulnar joint, depending on the degree of shortening.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Isolated Salter-Harris Type II Fracture of the Distal Ulna

Mitrousias¹,

Amprazis²,

Baltas³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

11 years post-surgical outcome for an isolated distal ulnar Salter-Harris IV fracture with distal radioulnar joint disruption – A case report and literature review

Leung Wong,

Leong Lim,

Teoh

2024

Journal of Orthopaedic Reports

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Adolescent Distal Ulna Physeal Fracture with Extensor Retinaculum Interposition

Krishna,

Bain

2023

J Wrist Surg

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Background Isolated distal ulna fractures are rare injuries and are commonly associated with distal radius fractures. Though most of them can be managed conservatively, few of them require open reduction due to the interposition of various structures. Case description In this case report, we report two cases of irreducible isolated distal ulna fractures in adolescents due to the interposition of the extensor retinaculum with its underlying tendons requiring open reduction to achieve bony union and distal radioulnar joint stability. These distal ulna fractures can be best reduced by open reduction with hypersupination and maintaining the distal ulna shaft gothic arch with pins. Literature review There are very few case reports reported on isolated distal ulna fractures commonly seen in paediatric and adolescent patients leading to growth arrest. The interposition of various structures is a cause of irreducibility requiring open reduction. These fractures are equivalent to TFCC injuries in adults. Clinical relevance Whenever there is a gross displacement or difficult reduction interposition is to be considered. Open reduction of the fracture and maintenance of DRUJ congruity is sufficient without being critical on articular reduction.

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Isolated Salter-Harris Type IV Fracture of the Distal Ulna in a 12-Year-Old Boy

Cited by 7 publications

References 12 publications

Isolated Salter-Harris Type II Fracture of the Distal Ulna

Isolated Salter-Harris Type II Fracture of the Distal Ulna

11 years post-surgical outcome for an isolated distal ulnar Salter-Harris IV fracture with distal radioulnar joint disruption – A case report and literature review

Adolescent Distal Ulna Physeal Fracture with Extensor Retinaculum Interposition

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