Case report: Radial overgrowth and deformity after metaphyseal fracture fixation in a child

• Published in: Clinical orthopaedics and related research no. 435; p. 258
• Main Authors: Williams, Amy A, Szabo, Robert M
• Format: Journal Article
• Language: English
• Published: United States 01-06-2005
• Subjects: Adolescent; Bone Malalignment - diagnostic imaging; Bone Malalignment - physiopathology; Fracture Fixation - methods; Humans; Male; Postoperative Complications - diagnostic imaging; Postoperative Complications - physiopathology; Radiography; Radius - diagnostic imaging; Radius - growth & development; Radius Fractures - diagnostic imaging; Radius Fractures - physiopathology; Radius Fractures - surgery; Range of Motion, Articular
• ISSN: 0009-921X
• DOI: 10.1097/01.blo.0000160683.79791.a2

Pediatric fractures sometimes are complicated by growth disturbances. Most reported growth disturbances are in the lower extremity and can entail growth arrest or overgrowth. We report a case of overgrowth and angular deformity after an extraphyseal distal radius fracture that resulted in clinically significant pain and functional impairment because of palmar instability of the distal ulna. A dome osteotomy was successful in treating the patient's wrist pain, distal radioulnar instability, and multiplanar deformity of the distal radius.