Deformity after premature closure of the distal radial physis following a torus fracture with a physeal compression injury. Report of a case

Our follow-up examinations showed that the majority of patients achieved good results, especially in children under 10 years old. Large dislocations at the time of fracture healing do not influence long-term results in this age group and thus can be tolerated. Patients over 10 years old, whose fractures healed with an angular deformity of more than 20 degrees and/or fragment dislocation over half the breadth of the shaft showed the poorest results. Thus, such dislocations should not be tolerated, and reduction should be attempted in this age group by only one reduction maneuver.

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Premature Closure of the Distal Radial Physis

Horii

Tamura

Nakamura

et al. 1993

Journal of Hand Surgery

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Two cases of fracture of the radius treated by pinning resulted in severe wrist joint deformity due to premature closure of the epiphysial growth plate. Inappropriate pinning through the physis damaged the growth plate in both cases. They were treated by bone bridge resection with free fat interposition. The bone bar resection was effective in correcting the wrist joint deformity, and bone growth was expected without bone grafting.

show abstract

Deformity after premature closure of the distal radial physis following a torus fracture with a physeal compression injury. Report of a case

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