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Salter-Harris Type 2 Fracture of the Proximal Phalanx of the Thumb With a Rotational Deformity: A Case Report and Review

Izadpanah, Ali MDCM*; Karunanayake, Mihiran BSc; Izadpanah, Arash BSc, MD, CM; Sinno, Hani MDCM, MEng*; Luc, Mario MDCM, MSc, FRCSC*

doi: 10.1097/PEC.0b013e31823606da
Illustrative Cases

Abstract: Hand fractures are the most common site of injury in the pediatric population. They commonly involve the epiphyseal growth plates, and their standard classification is that of Salter-Harris (SH). Rotational deformities after SH fractures are rarely reported in literature. However, only 5 degrees of angulation can cause evident rotational deformity. This could be seen clinically and reconfirmed with radiologic evaluation. Up to this date, there are only a few cases of SH fractures with rotational deformity that have been described. We present 2 cases of SH type 2 with evidence of rotational deformity, which were reduced under local anesthesia in the emergency department. A review of literature is performed. Thus, examination for rotational deformities in SH fractures should be kept in mind. A satisfactory closed reduction under local anesthesia can be obtained.

From the *McGill University Healthcare Center and †McGill University, Montreal, Quebec, Canada.

Disclosure: The authors declare no conflict of interest.

Reprints: Ali Izadpanah, MDCM, 760 Upper Lansdowne, Westmount, Quebec, Canada H3Y 1J8 (e-mail:

The authors did not receive financial support for this study.

© 2012 Lippincott Williams & Wilkins, Inc.