GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info

Distal radial fracture

Case contributed by Jeremy Jones
Diagnosis certain


Fall onto left hand. Swollen and tender.

Patient Data

Age: 7 years
Gender: Male

Dorsal displacement and angulation of the distal radius at the physis.  There is widening of the palmar aspect of the physis.  There is also fragmentation dorsally which is likely to be from the metaphysis making this a Salter-Harris type II injury with more physeal displacement than is usually seen.

Case Discussion

In children, it is vital to assess the physis and look for small changes in its width. When there is angulation of the epiphysis, displacement of the epiphysis on the metaphysis or widening of the physis, think of a Salter-Harris fracture.

Salter-Harris type II injuries are by far the commonest type of physeal injury. When you suspect a type I injury (epiphyseal slip), look carefully for a metaphyseal fragment which makes it a type II injury.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.