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Resolution
The correct reading of the x-ray is: fracture of the ulnar styloid and Salter-Harris Type 1 fracture of the distal radius, with significant displacement of the epiphysis.
Type 1 Salter-Harris fractures are distinguished by complete separation of the growth plate from the metaphysis; such fractures of the distal radius are common, though ulnar involvement is not.
This patient was referred to the hospital for further evaluation and treatment.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM.
Clinical Challenge: June, 2007
Nahum Kovalski, BSc, MDCM
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