Volar Shear Fractures of the Distal Radius

Living reference work entry


A 10-year-old right-hand-dominant female sustained a fall onto her left arm and presented with a closed left Salter Harris II fracture of her distal radius with a volar shear component. This fracture pattern is better defined in adult patients and almost always necessitates surgery in the adult population because of the inability to maintain reduction in a closed manner. An attempt at closed reduction was performed in this case; however, it did not achieve satisfactory alignment. Open reduction and pinning of the fracture was performed. Pins were removed in the office at 4 weeks, and at 8 weeks postoperatively, she had full range of motion of her wrist. At 18 months postoperatively, there was no radiographic or clinical signs of a physeal bar or growth arrest.

References and Suggested Reading

  1. Abzug JM, Little K, Kozin SH (2014) Physeal arrest of the Distal radius. J Am Acad Orthop Surg 22(6):381–389CrossRefPubMedGoogle Scholar
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  3. Stutz C, Waters PM (2009) Fractures and dislocations of the forearm, wrist, and hand. In: Mencio GA, Swiontkowski MF (eds) Green’s skeletal trauma in children. Elsevier Saunders, Philadelphia, pp 142–181. PrintGoogle Scholar
  4. Waters PM, Bae DS (2010) Fractures of the distal radius and ulna. In: Beaty JH, Kasser JR (eds) Rockwood and Wilkins’ fractures in children. Lippincott Williams and Wilkins, Philadelphia, pp 292–346. PrintGoogle Scholar

Authors and Affiliations

  1. 1.Pediatric Specialists of VirginiaFairfaxUSA
  2. 2.Department of Orthopedic Surgery OrthopedicsAlfred I. duPont Hospital for ChildrenWilmingtonUSA

Section editors and affiliations

  • Jennifer M. Ty
    • 1
  1. 1.Department of Orthopedic SurgeryNemours: Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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