Distal radius greenstick fracture

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Forearm pain and deformity after being hit on the wrist by a football (soccer ball).

Patient Data

Age: 8 years
Gender: Male

The radiographs confirmed the suspected distal radius fracture. There is a distal metaphyseal greenstick fracture of the radius with dorsal angulation.

Case Discussion

Distal radius fractures are common fractures in children. Due to skeletal immaturity, they may present as greenstick fractures.

In children, the initial approach is usually non-operative. Acceptable residual angulation after closed reduction depends on age. In the present case, the boy was 8 years old, to which the residual acceptable angulation on the sagittal plane is up to 20º, and up to 15º on the coronal plane.

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