title: Operative management of bilateral Salter-Harris type III fractures of the proximal phalanges of the great toes of a 10-year-old female ballet dancer: a case report.
abstract: Differentiation between the normal variant cleft epiphysis and Salter-Harris type III fracture of the first proximal phalanges of the foot in children might be challenging. The authors describe a case of a 10-year-old ballet dancer girl with bilateral epiphyseal segmentation of the first proximal phalanges of the foot, unresponsive to conservative treatment. Considered a nonhealing stress-induced fracture, operative treatment with closed reduction and Herbert screw insertion was chosen on both sides. Complete union was achieved, with significant reduction of pain. The presented case suggests that internal fixation can be a viable option in the treatment of the problem.
authors.affiliation: aDepartment of Traumatology, University of Szeged, Szeged, HungarybBangkok Hospital, Bangkok, Thailand.
authors.forename: Akos
authors.initials: A
authors.lastname: Csonka
authors.forename: Eakachit
authors.initials: E
authors.lastname: Sikarinkul
authors.forename: Istvan
authors.initials: I
authors.lastname: Gargyan
authors.forename: Kristof
authors.initials: K
authors.lastname: Boa
authors.forename: Endre
authors.initials: E
authors.lastname: Varga
mesh_terms: D001863:Bone Screws; D002648:Child; D003615:Dancing; D004838:Epiphyses / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D050277:Toe Phalanges / Q000000981:diagnostic imaging / Q000601:surgery*; D014034:Toes / Q000000981:diagnostic imaging / Q000601:surgery*