Combined Radial and Ulnar Epiphyseal Injury at the Wrist: A Rare Case.

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.