Salter-Harris type I and II fractures in one finger

Case contributed by Dr Benedikt Beilstein

Presentation

Cupboard on finger.

Patient Data

Age: 4
Gender: Male

Burst fracture of the middle phalanx D II with fracture lines extending to the growth plate without involvement of the epiphysis.

Additionally, there is a slipped epiphysis of the distal phalanx.

Associated soft tissue swelling.

 

Post surgery

Modality: X-ray

After closed reduction and K wire transfixation correct positioning albeit hard to appreciate due to overlying cast.

Salter-Harris type I and II fractures in one finger.

Case Discussion

Salter-Harris type I and II fractures in a single finger.

Type I fractures can sometimes be hard to appreciate, especially when the slip is only subtle, or, like in this case, when there are other more obvious pathologies present (happy instant phenomenon).

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Case Information

rID: 52247
Case created: 29th Mar 2017
Last edited: 7th Apr 2017
Inclusion in quiz mode: Included

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