Dislocation of the Pisiform in a 9-Year-Old Child

1998 ◽  
Vol 23 (2) ◽  
pp. 269-270 ◽  
Author(s):  
K. ASHKAN ◽  
D. O’CONNOR ◽  
S. LAMBERT
Keyword(s):  
Distal Radius ◽  
Current Literature ◽  
Closed Reduction ◽  
Clinical Results ◽  
Type Ii ◽  
Salter Harris

A dislocated pisiform associated with type II Salter-Harris fractures of the distal radius and ulna in a 9-year-old child is described. Closed reduction followed by immobilization achieved good radiological and clinical results. The current literature on dislocation of the pisiform is reviewed.

scholarly journals Ligamentotaxis for Barton's and Paediatric Distal Radial Fractures

2009 ◽  
Vol 17 (1) ◽  
pp. 28-30 ◽  
Author(s):  
P Lakshmanan ◽  
MK Sayana ◽  
B Purushothaman ◽  
JL Sher
Keyword(s):  
Distal Radius ◽  
European Federation ◽  
Neutral Position ◽  
Type Ii ◽  
Years Of Experience ◽  
Distal Radial Fractures ◽  
Orthopaedic Surgeons ◽  
Salter Harris ◽  
Palmar Flexion

Purpose. To establish a consensus regarding immobilisation of the wrist following reduction of Barton's and paediatric distal radial fractures. Methods. Questionnaires were distributed to orthopaedic surgeons at the European Federation of National Associations of Orthopaedics and Traumatology meeting in Lisbon in 2005. Questions included the surgeon's country of practice, hospital, professional grade, years of experience, sub-specialty, and preferred position of wrist immobilisation after (1) a volar Barton's fracture, (2) a dorsal Barton's fracture, (3) a paediatric Salter-Harris type-II injury to the distal radius with volar displacement, and (4) the same injury but with dorsal displacement. Results. Of 148 questionnaires distributed, 118 were returned. The specialist-to-trainee ratio was 45:73. In volar Barton's fractures, only 20% (29% specialists and 15% trainees) would immobilise the wrist in palmar flexion, as per recommendations. In dorsal Barton's fractures, only 25% (33% specialists and 21% trainees) would immobilise the wrist in dorsiflexion, as per recommendation. In paediatric Salter Harris type-II injury to the distal radius with volar displacement, 87% (100% specialists and 79% trainees) would immobilise the wrist in dorsiflexion or in a neutral position, as per recommendation. In the same injury but with dorsal displacement, 84% (89% specialists and 81% trainees) would immobilise the wrist in palmar flexion or in a neutral position, as per recommendation. In all 4 types of fractures, 26% to 30% of respondents would immobilise the wrist in a neutral position. Conclusion. Most respondents deviate from the recommended immobilisation positions in treating Barton's fractures. Understanding of the anatomy or biomechanics of ligamentotaxis are crucial for conservative treatments.

A Salter Harris type II fracture of the distal ulna in a fourteen month female neutered Great Dane

2005 ◽  
Vol 18 (01) ◽  
pp. 43-45
Author(s):  
S. J. Langley-Hobbs
Keyword(s):  
Distal Radius ◽  
Fracture Reduction ◽  
Long Bone ◽  
Type Ii ◽  
Distal Ulna ◽  
Salter Harris ◽  
Great Dane

SummaryA displaced Salter Harris type II fracture of the distal ulna and a minimally displaced Salter Harris type II fracture of the distal radius were diagnosed in a fourteen month female neutered Great Dane dog. Fracture reduction was challenging but treatment was successful. Aetiology of the unusual fracture is discussed. Long bone physes may close later in giant breeds, early neutering can cause a further delay.

A RARE CASE OF SUPRACONDYLAR FRACTURE HUMERUS ASSOCIATED WITH IPSILATERAL DISTAL RADIUS EPIPHYSEAL INJURYCASE REPORT

2021 ◽  
pp. 26-28
Author(s):  
A. Ganesh ◽  
Jitendra Mishra ◽  
Akshay M ◽  
Aniruddh Dash ◽  
Anurag singh ◽  
...  
Keyword(s):  
Distal Radius ◽  
Similar Case ◽  
Supracondylar Fracture ◽  
Type Ii ◽  
Rare Entity ◽  
Radiological Outcome ◽  
Supracondylar Fractures ◽  
Epiphyseal Injury ◽  
Salter Harris ◽  
Fracture Humerus

Supracondylar fractures associated with ipsilateral distal radius epiphyseal injuries are a rare entity that is usually missed during preliminary clinical examination and can lead to severe complications if prompt management is not undertaken. We report a similar case which was a result of a fall on an outstretched hand and excessive energy being dissipated across both elbow and wrist which resulted in extension type of supracondylar fracture of the humerus (Gartland type-III) and ipsilateral distal radius epiphyseal injury (Salter-Harris type-II). The patient was managed with closed reduction and internal xation with k-wire pinning of both the injuries and stabilization in a posterior slab for 3 weeks. The patient had a good functional and radiological outcome following this prompt management. We recommend screening radiographs of the distal radius in cases of supracondylar fracture to exclude any epiphyseal injury or fracture for its appropriate management.

Minimally invasive osteosynthesis of a distal humeral Salter-Harris type II fracture by percutaneous pinning

2020 ◽  
Vol 8 (2) ◽  
pp. e001072
Author(s):  
Emily A Hartman ◽  
Karen Lisette Perry ◽  
Loic M Dejardin
Keyword(s):  
Minimally Invasive ◽  
Closed Reduction ◽  
Weight Bearing ◽  
Type Ii ◽  
Percutaneous Pinning ◽  
German Shepherd ◽  
Minimally Invasive Osteosynthesis ◽  
Long Term Outcome ◽  
Salter Harris

A 13.2-kg, skeletally immature German shepherd dog presented with acute onset non–weight-bearing right forelimb lameness. A mildly displaced, distal humeral Salter-Harris type II fracture was diagnosed using radiographs and CT scan which demonstrated a characteristic ‘corner’ sign. Closed reduction was achieved using ligamentotaxis techniques and stabilisation was performed via percutaneous pinning under fluoroscopic guidance. Physical examination and diagnostic imaging were repeated at 1 month postoperatively with telephone communication and Canine Brief Pain Inventory being completed 12 months postoperatively. Clinical union was documented radiographically 4 weeks postoperatively. Minimal lameness was noted clinically, reported to have resolved 2 weeks thereafter. Long-term outcome was excellent with both pain severity score and pain interference score being zero. This is the first detailed report of a distal humeral Salter-Harris type II fracture in the veterinary literature. Principles of minimally invasive osteosynthesis were applied to achieve closed reduction and stabilisation with excellent long-term clinical outcome.

Remodeling of Salter-Harris Type II Epiphyseal Plate Injury of the Distal Radius

2004 ◽  
pp. 472-476 ◽  
Author(s):  
Shirzad Houshian ◽  
Anette Koch Holst ◽  
Morten S. Larsen ◽  
Trine Torfing
Keyword(s):  
Distal Radius ◽  
Epiphyseal Plate ◽  
Type Ii ◽  
Salter Harris

scholarly journals Use of a circular fixator construct to facilitate closed reduction and percutaneous stabilization of a distal femoral physeal fracture in a dog

2021 ◽  
Vol 11 (1) ◽  
pp. 89-95
Author(s):  
Matthew A. Lazarus ◽  
Daniel D. Lewis ◽  
Matthew D. Johnson ◽  
Erin G. Porter
Keyword(s):  
External Fixator ◽  
Closed Reduction ◽  
Distal Femur ◽  
Thigh Muscle ◽  
Type Ii ◽  
Physeal Fracture ◽  
Circular External Fixator ◽  
Salter Harris ◽  
The Right ◽  
Percutaneous Stabilization

Background: Fractures of the distal femoral physis are the most common physeal fracture sustained by skeletally immature dogs. Reduction and stabilization of these fractures can sometimes be achieved through closed reduction, primarily in fractures that are nominally displaced. Circular external fixator constructs have been used to assist in indirect, closed reduction of fractures at other anatomic locations in dogs and this report describes application of this method to reduce a displaced Salter-Harris type II fracture of the distal femur in a 1-year-old dog. Case Description: A 1-year-old female spayed Akita was referred for treatment of a Salter-Harris type II fracture of the right distal femur. The epiphyseal segment was laterally and slightly caudally displaced. Multiple attempts to manually reduce the fracture during surgery were unsuccessful, so a two-ring circular external fixator construct was applied to facilitate distraction and reduction. The construct was applied by placing a medial-to-lateral Kirschner wire in both the mid-femoral diaphysis and in the distal femoral epiphysis. Distraction of the construct provided sufficient separation of the fracture segments to facilitate near anatomic reduction. The fracture was stabilized with two percutaneously placed Steinmann pins placed in Rush fashion. Radiographic union was confirmed 5 weeks after surgery. The dog was not lame and was bearing more weight on the right pelvic limb, as assessed using force plate analysis, 9 months following surgery. Goniometric measurements of stifle range of motion and thigh muscle circumference were similar between the pelvic limbs. Conclusion: Application of a two-ring circular construct would appear to be useful to facilitate closed reduction and percutaneous stabilization of distal femoral physeal fractures.

Remodeling of Salter-Harris Type II Epiphyseal Plate Injury of the Distal Radius

2004 ◽  
Vol 24 (5) ◽  
pp. 472-476 ◽  
Author(s):  
Shirzad Houshian ◽  
Anette Koch Holst ◽  
Morten S. Larsen ◽  
Trine Torfing
Keyword(s):  
Distal Radius ◽  
Epiphyseal Plate ◽  
Type Ii ◽  
Salter Harris

scholarly journals Comminuted intra articular fracture of distal radius: Outcome of Management with closed reduction and percutaneous pinning.

2019 ◽  
Vol 26 (10) ◽  
pp. 1697-1701
Author(s):  
Karam Ali Shah ◽  
Saeed Ali Shah ◽  
Zahoor Illahi Soomro ◽  
Allah Nawaz Abbasi ◽  
Muhammed Azeem Akhund
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Base Line ◽  
X Rays ◽  
Type Ii ◽  
Percutaneous Pinning ◽  
Articular Fractures ◽  
Anatomic Reduction ◽  
K Wires ◽  
Radius Matching

Objectives: To determine the outcome and various complications in the management of comminuted intra articular fractures of distal radius in adults treated with closed reduction associated with Percutaneous Pinning. Study Design: Observational study. Setting: Department of Orthopaedic PUMHS, Nawabshah. Period: January 2017 to December 2018. Material and Methods: 45 consecutive cases of closed comminuted intra articular fractures of distal radius matching the inclusion criteria, all patients were adult aged between 23 – 38 years having Gartland and Werly type II and III fractures of 6 to 7 days duration. After initial resuscitation, thorough clinical examination done and all base line laboratory investigations and x-rays were obtained. The demographic and clinical data was recorded on a proforma. The patients were informed about the study and surgery and a written consent was taken and all of the patients were gone for closed reduction with percutaneous K – wiring. Functional outcome like union, healing and any complication were assessed. Patients were also checked for the range of movements. After 6 weeks, the K – wires and cast were removed and the procedure of physiotherapy started. After six weeks all the patients were advised for follow up at an interval of 3 months and 6 months. The data collected was statistically analysed and the results were tabulated. Results: 45 cases of closed intra articular fractures of distal radius were assessed, out of these 20 cases have Gartland type II and 25 cases have Gartland type III fractures. The age of patient was ranged between 23 – 38 years (mean 34+ 4.63), majority (55.6%) of patients were male. The left side of fractures were present in 66.3% of cases. All the patients checked for complications and that were seen in only 07 cases consisting of pin tract infection, reduced grip strength and finger stiffness. At the end of study period the range of movements in different directed were checked and evaluation was done according to modified Demerit scoring system. Conclusion: Closed reduction of distal radius with percutaneous pinning in comminuted intra articular fractures gives promising excellent results, it is a simple and minimal procedure providing anatomic reduction, fixation of fracture and maintenance of reduction with an suitable technique of immobilization.

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