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Salter-Harris type-IV displaced distal radius fracture in a 5-year-old
Samuel R Huntley1, Spencer H Summers, Stephen J Stricker
1aDepartment of Orthopaedics and Rehabilitation, Leonard M. Miller School of Medicine, University of Miami bDepartment of Pediatric Orthopaedics, Jackson Memorial Medical Center, Miami, Florida, USA.
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.
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