Published on
Resolution
The patient’s problem list includes trauma. Diagnoses are Fx, Fx radius distal, Fx ulna distal.
There is a Salter I fracture of the distal radius. Note the slippage of the epiphysis. This requires reduction.
There is also a distal ulnar styloid fracture.
Near total displacement of the radial physis is not uncommon and often requires operative fixation. Refer to hospital for orthopedic management.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge 2: June, 2011
Nahum Kovalski, BSc, MDCM
1 2