Infrequent physeal wrist injury of the ulna and radius: a case report

We describe the case of a 13-year-old patient with a left wrist physeal fracture of the ulna and radius. X-Ray showed a Salter–Harris type II injury of the radius, and CT and MRI identified the following: type II epiphysiolysis of the radius with a metaphyseal wedge and type IV fracture of the ulna,...

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Bibliographic Details
Published in:Strategies in trauma and limb reconstruction 2008-12, Vol.3 (3), p.123-125
Main Authors: Carbonell, Pedro Gutiérrez, Rey, Eloisa Felíu, Vicente-Franqueira, Javier Roca, Trigueros, Antonio Perez
Format: Article
Language:English
Subjects:
Case Report
Case reports
Computed tomography
Injuries
Injury prevention
Magnetic resonance imaging
Medicine
Medicine & Public Health
Orthopedics
Surgical Orthopedics
Traumatic Surgery
Ulna
Wrist
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Summary:We describe the case of a 13-year-old patient with a left wrist physeal fracture of the ulna and radius. X-Ray showed a Salter–Harris type II injury of the radius, and CT and MRI identified the following: type II epiphysiolysis of the radius with a metaphyseal wedge and type IV fracture of the ulna, with interposition in the focus of the fracture of the extensor carpi ulnaris tendon, as well as a tear in the central area of the triangular fibrocartilage complex. All these injuries were checked intraoperatively during open reduction. We believe that this clinical case illustrates the importance of carefully assessing physeal wrist injuries when they occur, especially in those cases involving the ulna and the radius. Diagnostic methods such as CT and MRI scans are indispensable for through evaluation and treatment of the injury.
ISSN:1828-8936
1828-8928
DOI:10.1007/s11751-008-0046-8