Distal radius triplane fracture

Parkar, Asif; Marya, Sks; Auplish, S

doi:10.1308/003588414x13946184902569

Cited by 5 publications

(10 citation statements)

References 10 publications

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“…Typically seen in adults, intra-articular fractures of the distal radius are high-energy injuries caused by impaction of the carpus into the distal radius, often resulting in a dorsomedial fragment known as a die-punch fragment [14,15]. Although intra-articular fractures of the distal radius are rare in children [13], these injuries have the potential to cause premature physeal arrest, late deformity, impaired wrist or forearm motion, ulnocarpal impingement, or disruption of the triangular fibrocartilage complex [16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

“…Six of these were described as triplane fractures, a variant of the type-IV fracture [16][17][18][19]22,23]. The patient Posteroanterior (a) and lateral (b) radiographs.…”

Section: Discussionmentioning

confidence: 99%

“…Reduction is recommended for articular step-off of more than 1 mm [20]. These highenergy fractures are at risk for premature post-traumatic growth arrest because of linear bar formation, especially if anatomic alignment is not achieved [11,[16][17][18][19][20]. Because of the rarity of Salter-Harris type-IV fractures, there is a paucity of scientific literature describing the indications for operative treatment of these distal radial injuries, especially in young children.…”

Section: Discussionmentioning

confidence: 99%

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Salter–Harris type-IV displaced distal radius fracture in a 5-year-old

Huntley

Summers²,

Stricker³

2016

Journal of Pediatric Orthopaedics B

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Displaced Salter-Harris type-IV fractures are rare in young children and can result in articular incongruity or premature physeal arrest. We describe a 5-year-old boy who sustained a displaced left distal radial Salter-Harris type-IV fracture. The patient had normal wrist function and physeal growth at the 3-year postoperative follow-up. Our patient is by far the youngest reported child with a displaced Salter-Harris type-IV fracture of the distal radius. Prompt anatomic reduction and fixation of a displaced distal radial Salter-Harris type-IV fracture can result in excellent short-term wrist motion with maintenance of physeal function.

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Section: Discussionmentioning

confidence: 99%

“…Six of these were described as triplane fractures, a variant of the type-IV fracture [16][17][18][19]22,23]. The patient Posteroanterior (a) and lateral (b) radiographs.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Salter–Harris type-IV displaced distal radius fracture in a 5-year-old

Huntley

Summers²,

Stricker³

2016

Journal of Pediatric Orthopaedics B

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“…However, locations other than the distal tibia are very rare and only a few individual case reports are documented [18][19][20][21]. Until today only five case reports of transitional fractures of the distal radius have been published [11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…Transitional fractures are defined as epiphyseal injuries in which partial closure of the epiphyseal growth plate has already occurred [10] and must be clearly differentiated from pediatric fractures as an independent fracture entity. Despite the frequency of distal radius fractures, especially during childhood, transitional fractures of the distal radius are rare and up until today only a few case reports have been published [11][12][13][14][15][16]. A case series of four transitional fractures of the distal radius with discussion of the diagnosis and treatment options and critical review of the literature is presented here.…”

Section: Introductionmentioning

confidence: 99%

Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review

et al. 2020

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Background: Transitional fractures are fractures in adolescents where partial closure of the epiphyseal growth plate has occurred. These fractures are most commonly reported in the distal tibia. With respect to the distal radius, only a few case reports describing transitional fractures exist. Furthermore, relatively little is known about epiphyseal closure of the distal radius. A case series of four transitional fractures of the distal radius is presented by comparing non-operative and operative treatment options. At present, this is the largest case series in the literature dealing with this rare injury. Case presentation: We present three cases of four transitional fractures of the distal radius including 1-year followup. Patient age ranged from 16 to 18 years including a gender ratio of two males to one female. Clinical and radiographic assessments took place 6 and 12 weeks and 1 year after trauma/surgery. Three transitional fractures were treated with open reduction and internal volar plate fixation followed by functional rehabilitation. One transitional fracture was treated non-operatively. All cases showed an excellent functional outcome. Conclusions: The primary treatment goal in transitional fractures is anatomic reduction of the articular surface. Nonoperative treatment of transitional fractures of the distal radius is the most commonly reported treatment option. Additionally, different fixation options have been described, including the use of Kirschner wires (K-wires) and lag screws. The presented cases demonstrate that volar plate fixation followed by functional rehabilitation is a valuable treatment option in significantly displaced transitional fractures of the distal radius. Furthermore, we discuss the pathogenesis as well as the different treatment options by critical reviewing the literature.

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Fractura triplanar del extremo distal del radio: Reporte de caso

Dávalos-Herrera

Satizabal-Bernal

Amador-Gutierrez

2022

Revista Colombiana de Ortopedia y Traumatología

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Resumen Las fracturas triplanares son las que ocurren en 3 planos separados en el extremo de un hueso largo inmaduro. Por lo general, cruzan la epífisis en el plano sagital, fisis en el plano transverso y metáfisis en el plano coronal. Por su naturaleza, se consideran una lesión intra-articular. Radiográficamente, estas fracturas a menudo se asemejan a una lesión de tipo deslizamiento epifisiario Salter-Harris tipo III en la vista anterior-posterior y un tipo Salter-Harris II en la proyección lateral y que como consecuencia se consideran un tipo Salter-Harris IV.Solo 5 casos de fractura triplanar del extremo distal del radio han sido reportadas hasta el momento en la literatura, se reporta el segundo caso manejado con reducción abierta y fijación interna.Se trata de un paciente de 12 años de edad con antecedente traumático en muñeca derecha posterior a accidente de tránsito, con deformidad y limitación funcional e imágenes diagnósticas que confirman una fractura a nivel metafisiario del extremo distal del radio derecho con desplazamiento radial y con un trazo de fractura que va a través de la epífisis, fisis y metáfisis. Se llevó a cabo una reducción abierta y fijación interna. 2 años después de la lesión, el paciente se encuentra asintomático, con arcos de movilidad articular conservados e imágenes diagnósticas con evidencia de consolidación adecuada de la fractura, ausencia de alteración de la fisis y consecuente crecimiento normal del radio.Nivel de Evidencia: IV

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Distal radius triplane fracture

Cited by 5 publications

References 10 publications

Salter–Harris type-IV displaced distal radius fracture in a 5-year-old

Salter–Harris type-IV displaced distal radius fracture in a 5-year-old

Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review

Fractura triplanar del extremo distal del radio: Reporte de caso

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