scholarly journals Distal Radius Salter-Harris III Transitional Fracture in an Adolescent Male

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Adam Kurland ◽  
Brian Batko ◽  
Jeremy Hreha ◽  
Ashley Ignatiuk
Keyword(s):  
Distal Radius ◽  
Case Reports ◽  
Distal Tibia ◽  
Fracture Pattern ◽  
Adolescent Male ◽  
Pattern Of Injury ◽  
Transitional Fracture ◽  
Salter Harris ◽  
Tillaux Fracture ◽  
Tomography Scan

In contrast to the well-described Tillaux fracture of the distal tibia, transitional fractures of the distal radius are exceedingly rare and have yet to be well described. Thus far, their presence in the literature has been limited to case reports and a singular series. None have involved a Salter-Harris III fracture pattern. We present the case of a 16-year-old male who sustained a Salter-Harris III transitional fracture of the distal radius with an associated ulnar styloid avulsion fracture secondary to a fall that was treated nonoperatively. Similar to the Tillaux fracture, examination of the distal radius transitional fracture should include computed tomography scan to better illustrate the pattern of injury and guide treatment.

Juvenile Tillaux Fracture Simulating Syndesmosis Separation: A Case Report

1998 ◽  
Vol 19 (5) ◽  
pp. 332-335 ◽  
Author(s):  
Steven D. Steinlauf ◽  
Stephen J. Stricker ◽  
Christopher A. Hulen
Keyword(s):  
Distal Tibia ◽  
Fracture Pattern ◽  
Fracture Fragment ◽  
Spontaneous Reduction ◽  
Pin Fixation ◽  
Salter Harris ◽  
Type 3 ◽  
Tillaux Fracture ◽  
Radiographic Result

The juvenile Tillaux fracture is an avulsion fracture (Salter-Harris type-3) of the anterolateral corner of the distal tibial epiphysis. We present a case in which the severely displaced Tillaux fragment became incarcerated between the distal tibia and fibula, simulating a syndesmotic separation radiographically. To our knowledge, such a fracture pattern as not been previously described. Preoperative computerized tomography provided accurate imaging of the unusual fracture pattern. Open extrication of the fracture fragment was followed by spontaneous reduction of the syndesmosis. The Tillaux fracture healed following open reduction with pin fixation, and the patient had an excellent functional and radiographic result at 2-year follow-up.

scholarly journals The rare isolated adult Chaput-Tillaux fracture: two case reports and review of the literature

2020 ◽  
Vol 7 (1) ◽  
pp. 134
Author(s):  
Eva Campos Pereira ◽  
João Maia Rosa ◽  
Sara Elisa Diniz ◽  
Filipa Pereira ◽  
Rita Sapage ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Case Reports ◽  
Preoperative Assessment ◽  
Review Of The Literature ◽  
High Level ◽  
Tillaux Fracture ◽  
Tomography Scan

<p>The authors present two isolated chaput-tillaux fractures in an adult skeleton. A high level of suspicion is required to prevent diagnostic failure. Computerized tomography scan detects hidden fractures and enables a more detailed preoperative assessment of each case. Most of the cases reported in the literature are associated with other ankle lesions. This typical juvenile pattern is rare in the adults and ideal treatment is yet to be determined.</p><p><strong> </strong></p>

scholarly journals A Case of Coronal Intra-articular and Epiphyseal Fractures of the Metacarpal Head in Early Adolescence

2020 ◽  
Author(s):  
Tomoyuki Kato ◽  
Takuji Iwamoto ◽  
Taku Suzuki ◽  
Noboru Matsumura ◽  
Masaya Nakamura ◽  
...  
Keyword(s):  
Index Finger ◽  
Three Dimensional ◽  
Fracture Pattern ◽  
Dorsal Approach ◽  
Metacarpal Head ◽  
Type Iv ◽  
Precise Diagnosis ◽  
Epiphyseal Fractures ◽  
Salter Harris ◽  
Tomography Scan

AbstractIntra-articular metacarpal head fracture is relatively rare. We report a case of coronal intra-articular and epiphyseal fractures of Salter–Harris type IV injury in the metacarpal head of the index finger. Surgery was performed by a dorsal approach. The volar fragment that was displaced proximally was gently reduced while bending the metacarpophalangeal (MP) joint, and it was fixed with cortical screws inserted proximal to the articular cartilage facilitating early rehabilitation. We consider the mechanism of injury to be a force applied from the distal phalanx that was transmitted unevenly to the volar side when the MP joint was slightly flexed. A three-dimensional computed tomography scan was useful in making the precise diagnosis, confirming the fracture pattern and planning fixation of the fracture.

scholarly journals Distal radius triplane fracture

2014 ◽  
Vol 96 (8) ◽  
pp. e6-e7 ◽  
Author(s):  
AAH Parkar ◽  
S Marya ◽  
S Auplish
Keyword(s):  
Distal Radius ◽  
Rare Case ◽  
Distal Tibia ◽  
Fracture Pattern ◽  
Fracture Line ◽  
Final Phase ◽  
Triplane Fracture ◽  
Physeal Fractures

A triplane fracture is so named because of the three planes traversed by the fracture line. These are physeal fractures that result from injury during the final phase of maturation and cessation of growth. This fracture pattern typically involves the distal tibia. We present a rare case of a triplane fracture involving the distal radius.

scholarly journals Arthroscopic Treatment of Translunate Perilunate Injuries, Not Dislocated (PLIND)

2018 ◽  
Vol 08 (02) ◽  
pp. 143-146 ◽  
Author(s):  
Guillaume Herzberg ◽  
Maxime Cievet-Bonfils ◽  
Marion Burnier
Keyword(s):  
Internal Fixation ◽  
Case Reports ◽  
Acute Stage ◽  
Arthroscopic Treatment ◽  
Computed Tomography Scan ◽  
Kirschner Wires ◽  
Pattern Of Injury ◽  
Arthroscopic Reduction ◽  
Tomography Scan

Background Translunate perilunate dislocations were recently described as well as perilunate injuries, not dislocated (PLIND). The authors present a case of transradial styloid, translunate PLIND which sustained a full arthroscopic reduction and internal fixation. Case Description A 33-year-old man sustained a transradial styloid, translunate PLIND due to a fall from a truck with his wrist in hyperextension. The diagnosis was made at the acute stage. Full arthroscopic reduction and internal fixation with Kirschner wires was performed, followed by a 6 weeks' immobilization period. Uneventful healing of both the lunate and radial styloid were observed at 6 weeks and confirmed with a computed tomography scan. At 4 years of follow-up, the Lyon wrist score was 78% (good). Literature Review Very few lunate fractures are described in the literature. Translunate perilunate dislocations were recently described as well as PLIND. To the best of the authors' knowledge, a case of transradial styloid, translunate PLIND which sustained a full arthroscopic reduction and internal fixation has never been reported so far. Clinical Relevance This case reports a unique pattern of transradial styloid, translunate PLIND and outlines the usefulness of a full arthroscopic treatment. An open reduction for this pattern of injury would have been extensive, difficult, and probably unreliable.

Fractures of the lateral margin of the distal tibia. The Tillaux fracture.

Radiology ◽  
1981 ◽  
Vol 138 (1) ◽  
pp. 55-57 ◽  
Author(s):  
J M Protas ◽  
B A Kornblatt
Keyword(s):  
Distal Tibia ◽  
Lateral Margin ◽  
Tillaux Fracture

Salter-Harris Type II Distal Tibia Fracture

Orthopedics ◽  
2000 ◽  
Vol 23 (11) ◽  
pp. 1197-1198
Author(s):  
Wade P McAlister ◽  
Richard L Uhl
Keyword(s):  
Distal Tibia ◽  
Tibia Fracture ◽  
Type Ii ◽  
Distal Tibia Fracture ◽  
Salter Harris

scholarly journals The clicking chest: what exactly did Hamman hear? A case report of a left-sided pneumothorax

2020 ◽  
Author(s):  
Nadeem Jimidar ◽  
Patrick Lauwers ◽  
Emmanuela Govaerts ◽  
Marc Claeys
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Case Report ◽  
Case Reports ◽  
Gunshot Wounds ◽  
Computed Tomography Scan ◽  
Imaging Studies ◽  
Left Chest ◽  
Case Summary ◽  
Tomography Scan

Abstract Background Hamman’s sign is a rare phenomenon. Louis Hamman described this pathognomonic clicking chest noise in association with pneumomediastinum in 1937. This typical noise can also be present in left-sided pneumothorax. Clinical cases already mention this pericardial knock in 1918 in gunshot wounds of the left chest and in 1928 in cases of spontaneous left-sided pneumothorax. However, the sound itself has only rarely been recorded. Case summary We describe a case of a young man with no significant medical history who was referred to the hospital with chest pain and audible clicks, documented with his smartphone. Imaging studies including chest radiograph and computed tomography scan revealed a left-sided pneumothorax. The patient underwent semi-urgent insertion of a thorax drain. His clinical outcome was excellent. Discussion In recent years only a few case reports describe Hamman’s sign, as it is rare and happens only transiently. This case report includes the audible clicks recorded by the patient with his smartphone. We stress the importance of thoracic clicking sounds as key symptom in the differential diagnosis of left-sided pneumothorax, pneumomediastinum, and valvular pathology such as mitral valve prolapse.

Distal radius fractures – A volar plate is not just a volar plate

Trauma ◽  
2017 ◽  
Vol 20 (3) ◽  
pp. 203-207
Author(s):  
Richard Knight ◽  
Lucy Elliott ◽  
Mark Brewster ◽  
Michelle Spiteri ◽  
Dominic Power
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Cost Savings ◽  
Fracture Pattern ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Radius Fractures ◽  
Potential Cost ◽  
Plate Design ◽  
Column Variable

Introduction Increasingly complex distal radius plate designs are available for treating distal radius fractures. As a result, many fractures are being ‘over-treated’ with more complex volar plate designs than necessary. We hypothesise that significant cost savings could be made by rationalising the use of complex locking plate designs. Methods Over a two-year period, radiographs of 250 consecutive distal radius fractures fixed with volar locking plates were reviewed and the type of plate, and type and number of screws used for fixation were noted. Preoperative radiographs were independently reviewed to ascertain if it would have been possible to stabilise the fracture with a simpler, extra-articular plate design. Potential cost savings were then calculated. Results It was deemed that 89 (36.5%) of the 250 cases originally treated with a more complex 2 column variable angle plate could have been treated with an extra-articular construct, leading to potential savings of £19,224. Conclusion It is clear from our data that many distal radius fracture patterns are being ‘over-treated’ with complex locking plate designs with multiple rows of screws and that substantial cost savings could be made by selecting an appropriate construct to suit the fracture pattern.

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