title: Salter-harris type 2 fracture of the proximal phalanx of the thumb with a rotational deformity: a case report and review.
abstract: 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.
authors.affiliation: McGill University Healthcare Center, Montreal, Quebec, Canada. ali.izadpanah@mail.mcgill.ca
authors.forename: Ali
authors.initials: A
authors.lastname: Izadpanah
authors.forename: Mihiran
authors.initials: M
authors.lastname: Karunanayake
authors.forename: Arash
authors.initials: A
authors.lastname: Izadpanah
authors.forename: Hani
authors.initials: H
authors.lastname: Sinno
authors.forename: Mario
authors.initials: M
authors.lastname: Luc
mesh_terms: D000058:Accidental Falls; D002648:Child; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging* / Q000628:therapy; D050278:Finger Phalanges / Q000293:injuries*; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography; D000072042:Salter-Harris Fractures; D013933:Thumb / Q000293:injuries*