Irreducible Salter-Harris Type II Fracture of the Distal Radial Epiphysis

Lesko, Paul; Georgis, Theodore; Slabaugh, Peter

doi:10.1097/01241398-198711000-00018

Cited by 5 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,5,[10][11][12] Many retrospective studies of closed manipulation and cast immobilization cite low rates of complications. 3,[13][14][15][16][17][18][19][20][21] However, more recent studies indicate a high rate of redisplacement, reangulation, and remanipulation. [22][23][24][25] Few prospective studies have examined the treatment and complications of distal radius fractures in children.…”

mentioning

confidence: 99%

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

Miller¹,

Taylor²,

Widmann³

et al. 2005

Journal of Pediatric Orthopaedics

152

127

View full text Add to dashboard Cite

Thirty-four patients were enrolled in a prospective randomized study comparing cast immobilization alone versus percutaneous pin fixation following closed reduction of distal radial metaphyseal fractures. Patients older than 10 years of age with greater than 30 degrees of dorsal angulation or with complete fracture displacement were eligible for enrollment. Average follow-up was 10.5 weeks. All fractures healed uneventfully without deformity, growth arrest, or functional limitations. Overall complication rates were similar between groups. Thirty-nine percent of patients treated with casting had subsequent loss of reduction requiring remanipulation; there were no cases of loss of reduction in patients treated with pin fixation. Thirty-eight percent of patients treated with pin fixation had pin-related complications; all resolved following pin removal without long-term sequelae. Cost analysis showed no significant difference in treatment charges between groups. Treating surgeons should be aware of the potential short-term complications of each treatment method and adjust their postoperative care appropriately.

show abstract

mentioning

confidence: 99%

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

Miller¹,

Taylor²,

Widmann³

et al. 2005

Journal of Pediatric Orthopaedics

152

127

View full text Add to dashboard Cite

show abstract

“…Almost all fractures in children involve the physis, with 46% of these occuring to the distal radius (13). The majority of them are type II according to the SalterHarris classification.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 50% of all fractures in children involve the physis, with 46% of these occurring to the distal radius (13). Among the five types of fracture-separations, as categorized by SalterHarris, type II is the most frequent, comprising 75% of fracture-separations in children.…”

Section: Indroductionmentioning

confidence: 99%

A Completely Displaced Salter-Harris I Fracture of the Distal Radial Epiphysis with Intact Ulna: a Case Report and Review of the Literature

Beslikas

Dadoukis

Nenopoulos

et al. 2005

Acta Chirurgica Belgica

View full text Add to dashboard Cite

We present a 12-year-old boy with a displaced fracture of the distal radial epiphysis type I according to the Salter-Harris classification. The distal radial epiphysis was completely dorsally displaced, while the distal ulna remained intact. The injury was result of a fall on the patient's outstretched hand. Closed reduction was applied and the forearm was immobilized with a long arm cast. In the radiological re-examination a week later, a complete re-displacement of the fracture was detected. Open reduction followed and interposed flexor tendons (flexor pollicis longus and flexor carpi radialis) were found in the anatomical position of the distal radial epiphysis. The displaced epiphysis was reduced and fixed with two Kirschner wires and a long arm cast for a period of 6 weeks. The follow-up examination 2 years later showed that the movement range of the wrist joint was not limited and skeletal growth of the radius was not disturbed. The failure of closed reduction in these fractures is due to anatomical obstacles such as periosteum, flexor tendons and pronator quadratus interposition. Repeated forceful manipulations to achieve closed reduction must be avoided because of the potential for a number of complications, such as growth arrest, compartment syndrome, and avascular necrosis of the epiphysis.

show abstract

“…Manoli [3] reported a case of distal radial epiphyseal injury complicated by entrapment of flexor digitorum profundus tendon causing difficulty in reduction. Extensor tendon interposition between the metaphysis and epiphysis of both the ulna and radius was reported by Karlsson et al [1].…”

Section: Discussionmentioning

confidence: 99%

“…Most of them have been reported in children. Various causes have been cited including interposition of extensor tendons [1], flexor tendons [2], periosteal flap [3] and soft tissues [4]. Such injuries appear to be common than is reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

Irreducible distal radial fracture due to extensor pollicis longus tendon interposition: a case report

Mohanlal

Jain

2009

Cases Journal

View full text Add to dashboard Cite

Various causes have been reported for irreducible fractures of the distal radius. Most of them have been reported in children.We report a case of irreducible distal radial fracture in an 18-year-old Caucasian male patient. The fracture was not reducible by closed methods and extensor pollicis tendon was found to be interposed during surgical intervention. At one year follow-up, the patient had good radiological evidence of fracture healing and a good functional outcome.This case report highlights the need for a high index of suspicion to rule out soft tissue interposition in cases of irreducible distal radial fractures and a low threshold for open reduction.

show abstract

Irreducible Salter-Harris Type II Fracture of the Distal Radial Epiphysis

Cited by 5 publications

References 0 publications

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

Cast Immobilization Versus Percutaneous Pin Fixation of Displaced Distal Radius Fractures in Children

A Completely Displaced Salter-Harris I Fracture of the Distal Radial Epiphysis with Intact Ulna: a Case Report and Review of the Literature

Irreducible distal radial fracture due to extensor pollicis longus tendon interposition: a case report

Contact Info

Product

Resources

About