Krishna Reddy Thirumalesh, Kosagi Sharaph Raghavendra
Orthopedic Surgery, Aster CMI Hospital, Bangalore, IND.
Orthopedics, Aster CMI Hospital, Bangalore, IND.
Cureus. 2020 Dec 2;12(12):e11843. doi: 10.7759/cureus.11843.
Epiphyseal injury involving both the radial and ulnar epiphysis at the wrist is rare and presents a diagnostic and therapeutic challenge. We report a case of a young adolescent female who presented with such an injury after a fall. She had a Salter-Harris Type 2 epiphyseal injury involving the distal end of both the radius and ulna. She was treated with gentle manipulation under anesthesia and stabilization with K-wires. We recommend early reduction with gentle manipulation for these injuries. The case is presented for its rarity and we have described our preferred treatment. Complications of these injuries involve growth disruption with possible length discrepancy between the radius and ulna, deformities, injury to the triangular fibro-cartilagenous complex and rarely median neuropathy.
累及腕部桡骨和尺骨骨骺的损伤罕见，且在诊断和治疗上具有挑战性。我们报告一例青少年女性病例，其在跌倒后出现此类损伤。她患有Salter-Harris Ⅱ型骨骺损伤，累及桡骨和尺骨远端。她在麻醉下接受了轻柔手法复位并用克氏针固定。对于这些损伤，我们建议早期采用轻柔手法复位。该病例因其罕见性而被呈现，并且我们描述了我们首选的治疗方法。这些损伤的并发症包括生长紊乱，可能导致桡骨和尺骨长度不等、畸形、三角纤维软骨复合体损伤，以及罕见的正中神经病变。
