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Pediatr Emerg Care. 2012 Mar;28(3):288-91. doi: 10.1097/PEC.0b013e31823606da.

Salter-harris type 2 fracture of the proximal phalanx of the thumb with a rotational deformity: a case report and review.

Author information

1
McGill University Healthcare Center, Montreal, Quebec, Canada. ali.izadpanah@mail.mcgill.ca

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.

PMID:
22391929
DOI:
10.1097/PEC.0b013e31823606da
[Indexed for MEDLINE]

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