Salter–Harris type-IV displaced distal radius fracture in a 5-year-old. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Huntley, Samuel R.; Summers, Spencer H.; Stricker, Stephen J.
• Is Part Of: Journal of pediatric orthopedics. Volume 25:Issue 2(2016)
• Publication Date: 2016-03
• Subjects: distal radius fracture -- internal fixation -- pediatric -- Salter–Harris type-IV -- wrist; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000228
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : 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.