TRAUMASurgical Management of Posttraumatic Distal Radial Growth Arrest in AdolescentsWaters, Peter M. M.D.*; Bae, Donald S. M.D.†; Montgomery, Kenneth D. M.D.‡Author Information Study conducted at the Children's Hospital, Boston, Massachusetts, U.S.A. From the *Department of Orthopaedic Surgery, The Children's Hospital, Boston, Massachusetts, U.S.A.; the †Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.; and the ‡Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York, U.S.A. Address correspondence and reprint requests to Peter M. Waters, M.D., Department of Orthopaedic Surgery, The Children's Hospital, 300 Longwood Avenue, Hunnewell 2, Boston, MA 02115, U.S.A. (e-mail: firstname.lastname@example.org). None of the authors have received financial support for this study. Journal of Pediatric Orthopaedics: November-December 2002 - Volume 22 - Issue 6 - p 717-724 Buy Abstract Thirty adolescents underwent surgery for progressive deformity after posttraumatic distal radial growth arrest at the average age of 14.8 years. Patients underwent ulnar epiphysiodesis (n = 11), ulnar-shortening osteotomy (n = 18), radial osteotomy (n = 7), and combined radial and ulnar epiphysiodesis (n = 3) procedures. A modification of the Mayo Wrist Score (maximum 100) was used to assess functional outcome at an average follow-up of 21 months. Average wrist scores in 24 symptomatic patients improved from 82 to 98 after surgical treatment. All six asymptomatic patients maintained scores of 100. Of 18 patients who underwent ulnar shortening, average ulnar variance was corrected from 4.5-mm positive to neutral. Complications included one case of radial osteotomy displacement and two cases of continued ulnar overgrowth. Surgery for posttraumatic distal radial growth arrest can improve pain and loss of motion in symptomatic adolescents and prevent symptoms in asymptomatic patients with progressive deformity. © 2002 Lippincott Williams & Wilkins, Inc.