A typical epiphyseal injury of the distal radius accompanying with median nerve neuropathy

Cem Coşkun AVCI, Necdet SAĞLAM, Tuhan KURTULMUŞ, Gürsel SAKA
1.722 342


Distal radius epiphyseal injuries are common fractures in childhood. Displaced physeal fractures are at risk for development of median neuropathy. We have described similar type of physeal injury in two adolescent patients with median nerve neuropathy. Because of the loss of periosteal integrity in metaphyseal region, these injuries are unique which can be accepted as a variant of Salter Harris Type 2. The patients were treated surgically and the median nerve symptoms resolved. At the final follow-up the patients were symptom free and there was no growth disturbance or deformity. 


Distal radius; physeal injury; median nerve neuropathy; surgical treatment

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II, the periosteal integrity of the metaphyseal fragment had

been lost (Thurston Holland Sign). Median nerve lesion

accompanying this type of fracture may be a specific event.

In contrast to Type II injuries which can almost all be treated

conservatively, surgical treatment is required.