J Korean Fract Soc.  1997 Jul;10(3):718-725. 10.12671/jksf.1997.10.3.718.

Conservative Treatment of Moderately Displaced S-H type II Injury in Distal Radius : a Report of 5 Cases

• Kim TS
• Park YS
• Kim DK
• Cho JL

• KMID: 2195247
• DOI: http://doi.org/10.12671/jksf.1997.10.3.718

Abstract

Epiphyseal injury in children is most frequently developed in distal radius. Type II injury in Salter Harris classification is known to be most common. In most cases of Salter Harris type II injury, the conservative treatment such as closed reduction and cast immobilization is reported to be effective. However, in moderately displaced epiphyseal injury, repeated manipulation would give further damage to the epiphyseal plate and then results in premature closure of the epiphyseal plate and growth arrest. We experienced five cases of moderately displaced S-H type II injury of distal radius, which had been reduced immediately after injury by closed method at privatic clinic, but redisplaced. We did not try to get realignment because it had passed 6 to 14 days since fracture occurred. Rather, we thought maintaining of present position could be best. After the conservative treatment for five cases, we have evaluated follow up results over one year. The results were excellent. We hereby report it with literature review.

Keyword

Distal radius; Epiphyseal injury; Conservative treatment

MeSH Terms

Child
Classification
Follow-Up Studies
Growth Plate
Humans
Immobilization
Radius*