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Displaced Salter-Harris I fracture of the distal ulna physis
  1. Kevin Clesham1,
  2. Robert P Piggott1 and
  3. Eoin Sheehan1,2
  1. 1 Trauma and Orthopaedic Surgery, Midland Regional Hospital Tullamore, Co Offaly, Ireland
  2. 2 Trauma and Orthopaedic Surgery, University of Limerick, Limerick, Ireland
  1. Correspondence to Mr Kevin Clesham, kevinclesham{at}


A 10-year-old girl presented to the emergency department having sustained a fall onto an outstretched left hand while playing soccer. Clinical and radiographical assessment identified a Salter-Harris I distal ulna fracture, as well as a buckle fracture of the distal radius. The injury was closed, and she had no neurovascular deficits on examination. She was brought to the operating theatre the following morning for closed reduction under general anaesthesia. Image intensification was used to confirm anatomical reduction, and an above-elbow moulded plaster-of-paris cast was applied. Follow-up clinical assessment at 6 weeks confirmed healing of the fracture, and she proceeded to make a full recovery. This case describes the anatomy and physiology of such rare injuries and outlines treatment principles and potential pitfalls based on best available evidence.

  • orthopaedic and trauma surgery
  • radiology
  • orthopaedics
  • paediatrics

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  • Contributors All authors contributed to the writing, editing and approved the final draft of this manuscript. KC collected details about the case, gained consent from the patient and performed background research on the topic and contributed to the writing and revising of the final draft. RPP performed background research on the case and contributed towards the writing of the manuscript. ES provided expertise in writing the manuscript, details about the case and the revising of the final script.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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