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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

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.