Segmental radius and ulna fractures with scaphocapitate fractures and bilateral multiple epiphyseal fractures.
Segmental forearm fractures are rare in children, and management is controversial. Epiphyseal injuries further complicate matters. We report the case of a 15-year-old boy who had segmental radius and ulna fractures with a coronal split of a metaphyseal fragment, along with bilateral epiphyseal fractures of the distal radius and ulna as well as ipsilateral scaphocapitate fractures with perilunate dislocation. There was also a contralateral fracture through the radial neck. The patient underwent immediate internal fixation of the forearm fractures and delayed fixation of the scaphocapitate fractures. Results at 12 months showed excellent functional outcome.
Department of Orthopaedics, Royal Bolton Hospital, Farnworth, Bolton, Greater Manchester, BL3 2DX, United Kingdom. naveedyasin@doctors.org.uk
Mohammed Naveed
MN
Yasin
Sumedh Chittaranjan
SC
Talwalker
John James
JJ
Henderson
Stephen Peter
SP
Hodgson
D000058:Accidental Falls; D000293:Adolescent; D001860:Bone Plates; D001864:Bone Wires; D051224:Capitate Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000293:injuries*; D005543:Forearm Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014955:Wrist Joint / Q000503:physiopathology