title: Physeal arrest of the distal radius.
abstract: Fractures of the distal radius are among the most common pediatric fractures. Although most of these fractures heal without complication, some result in partial or complete physeal arrest. The risk of physeal arrest can be reduced by avoiding known risk factors during fracture management, including multiple attempts at fracture reduction. Athletes may place substantial compressive and shear forces across the distal radial physes, making them prone to growth arrest. Timely recognition of physeal arrest can allow for more predictable procedures to be performed, such as distal ulnar epiphysiodesis. In cases of partial arrest, physeal bar excision with interposition grafting can be performed. Once ulnar abutment is present, more invasive procedures may be required, including ulnar shortening osteotomy or radial lengthening.
authors.affiliation: From the Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (Dr. Abzug), the Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH (Dr. Little), and the Department of Orthopaedic Surgery, Temple University School of Medicine, Philadelphia, PA (Dr. Kozin).
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Abzug
authors.affiliation: From the Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (Dr. Abzug), the Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH (Dr. Little), and the Department of Orthopaedic Surgery, Temple University School of Medicine, Philadelphia, PA (Dr. Kozin).
authors.forename: Kevin
authors.initials: K
authors.lastname: Little
authors.affiliation: From the Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (Dr. Abzug), the Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH (Dr. Little), and the Department of Orthopaedic Surgery, Temple University School of Medicine, Philadelphia, PA (Dr. Kozin).
authors.forename: Scott H
authors.initials: SH
authors.lastname: Kozin
mesh_terms: D002648:Child; D003952:Diagnostic Imaging; D004838:Epiphyses / Q000293:injuries* / Q000503:physiopathology*; D006801:Humans; D011884:Radius / Q000254:growth & development* / Q000293:injuries*; D011885:Radius Fractures / Q000145:classification / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy