Presentation
Fall off trampoline onto hard surface. Left wrist pain with reduced range of motion and tenderness on palpation.
Patient Data
Age: 12 years
Gender: Male
From the case:
Transverse distal radial fracture (child)
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Transverse distal radial fracture with minor dorsal angulation.
Case Discussion
While this may, at first glance, look like a buckle fracture, it is important to recognize that the fracture extends to the volar surface and it is therefore a complete transverse fracture.
It is very important to recognize a transverse distal radial fracture in children because the treatment is considerably different - several weeks in cast vs. symptomatic support in a removable splint.