Salter-Harris type II radius fracture

Case contributed by Miriam Leiderer
Diagnosis certain

Presentation

Patient jammed his right wrist between two heavy objects.

Patient Data

Age: 6 years
Gender: Male

Plain radiographs show a metaphyseal ulna fracture and a Salter-Harris type II radius fracture with dorsoradial dislocation of the epiphysis.

Follow-up

x-ray

Reduction of both fractures and casting with wrist in flexed position. Note the improved position of the radial epiphysis.

Case Discussion

This case shows dislocation of the distal radial epiphysis in a Salter-Harris type II fracture. Treatment is usually conservative with closed reduction under anesthesia and casting in flexed position to maintain result. 

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