Abstract

SURGICAL TREATMENT OF DISTAL RADIUS PHYSEAL FRACTURE WITH A POSTERIOR RADIO-CARPAL DISLOCATION: A CASE REPORT

Paul Koulemou*, Moustapha Etape, Tala Medzogo Remy Noel, Ekono Nna Albert Patrick, Azzelarab Bennis, Omar Zaddoug, Mohammed Benchakroun and Salim Bouabid

ABSTRACT

Distal radius fractures are the most common site of pediatric forearm fractures and generally occur as a result of a fall during playing/spotting activities on an outstretched hand with the wrist extended. Diagnosis is made with plain X-ray of the wrist. The treatment of displaced distal radius fractures remains challenging. One challenge facing the physician is the choice of surgical technique and fixation method, and this is influenced by individual experience and preference. Fixation of fracture fragments with K-wires, prevents redisplacement after initial reduction but until now, there are no clear guidelines for treatment with K-wire fixation. We present a case report of a 15-year-old male patient who sustained a displaced physeal fracture of distal radius with a posterior radio-carpal dislocation following a fall during a football match which was treated with close reduction and K-wire fixation.

Keywords: Distal radius fracture; K-wire fixation; displaced distal radius fracture; radio-carpal dislocation.