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Salter–Harris type-IV displaced distal radius fracture in a 5-year-old

Huntley, Samuel R.; Summers, Spencer H.; Stricker, Stephen J.

Journal of Pediatric Orthopaedics B: March 2016 - Volume 25 - Issue 2 - p 170–173
doi: 10.1097/BPB.0000000000000228

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.

aDepartment of Orthopaedics and Rehabilitation, Leonard M. Miller School of Medicine, University of Miami

bDepartment of Pediatric Orthopaedics, Jackson Memorial Medical Center, Miami, Florida, USA

Correspondence to Samuel R. Huntley, BS, MD/MPH, Department of Orthopaedics and Rehabilitation, Miami Center for Orthopaedics Research and Education (CORE), Leonard M. Miller School of Medicine, University of Miami, 821 Euclid Avenue, Apt 101, Miami Beach, FL 33139, USA Tel: +1 720 936 8238; fax: +1 305 243 3651; e-mail:

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