TRAUMAOperative management of bilateral Salter–Harris type III fractures of the proximal phalanges of the great toes of a 10-year-old female ballet dancer: a case reportCsonka, Akosa; Sikarinkul, Eakachitb; Gargyan, Istvana; Boa, Kristofa; Varga, EndreaAuthor Information aDepartment of Traumatology, University of Szeged, Szeged, Hungary bBangkok Hospital, Bangkok, Thailand Correspondence to Akos Csonka, MD, Department of Traumatology, University of Szeged, Semmelweis u. 6, H-6725 Szeged, Hungary. Tel: +36 62541784; fax: +36 62545530; e-mail: [email protected] Journal of Pediatric Orthopaedics B: July 2016 - Volume 25 - Issue 4 - p 393-396 doi: 10.1097/BPB.0000000000000284 Buy Metrics Abstract Differentiation between the normal variant cleft epiphysis and Salter–Harris type III fracture of the first proximal phalanges of the foot in children might be challenging. The authors describe a case of a 10-year-old ballet dancer girl with bilateral epiphyseal segmentation of the first proximal phalanges of the foot, unresponsive to conservative treatment. Considered a nonhealing stress-induced fracture, operative treatment with closed reduction and Herbert screw insertion was chosen on both sides. Complete union was achieved, with significant reduction of pain. The presented case suggests that internal fixation can be a viable option in the treatment of the problem. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.