Pediatric Emergency Care

Skip Navigation LinksHome > March 2012 - Volume 28 - Issue 3 > Salter-Harris Type 2 Fracture of the Proximal Phalanx of the...
Pediatric Emergency Care:
doi: 10.1097/PEC.0b013e31823606da
Illustrative Cases

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*

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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.

© 2012 Lippincott Williams & Wilkins, Inc.


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