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Concomitant multiple closed contiguous physeal injuries in a limb with an undescribed ‘distractional-separation’ type with vascular compromise: a report of two cases

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Abstract

Introduction: Though physeal injuries are common in children, concomitant multiple closed contiguous physeal injuries in a limb along with vascular compromise are rare. An associated distractional-separation type of physeal injury is being documented for the first time. We present here two such cases. Materials and methods: Two children, aged 6 months and 3 years, respectively, suffered a roadside high velocity trauma and thus form the part of this case report. Results: Because of the delay in seeking treatment and, or, the nature of injuries, it was associated with a tragic complication—an amputation in both cases. Conclusion: Although, the limb in our cases could not be salvaged, these reports describe these unusual injury patterns for the first time and re-emphasize the awareness of urgent recognition of the associated vascular insult.

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Correspondence to Aditya V. Maheshwari.

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Maheshwari, A.V., Jain, A.K., Dhammi, I.K. et al. Concomitant multiple closed contiguous physeal injuries in a limb with an undescribed ‘distractional-separation’ type with vascular compromise: a report of two cases. Arch Orthop Trauma Surg 126, 354–358 (2006). https://doi.org/10.1007/s00402-006-0111-z

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