Inverted dome radial osteotomy and ulnar shortening for neglected paediatric distal radial epiphyseal injury with ulnar impaction syndrome

Abstract

Neglected distal radial epiphyseal injuries can result in radial deformity and positive ulnar variance. We describe an inverted-dome radial osteotomy and ulnar shortening osteotomy to treat a paediatric distal radial malunion with ulnar impaction syndrome.

Level of evidence: V

Keywords

Distal radial fracture epiphyseal injury reverse dome osteotomy ulnar impaction syndrome ulnar shortening

Get full access to this article

View all access options for this article.

References

Samora

JB.

Distal radius physeal bar and ulnar overgrowth: indications for treatment. J Pediatr Orthop. 2021, 41: S6–S13.

Waters

Bae

Montgomery

KD.

Surgical management of posttraumatic distal radial growth arrest in adolescents. J Pediatr Orthop. 2002, 22: 717–24.

Woitzik

deGraauw

Easter

Ulnar impaction syndrome: a case series investigating the appropriate diagnosis, management, and post-operative considerations. J Can Chiropr Assoc. 2014, 58: 401–12.