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Radial Epiphyseal Fracture
Aka: Radial Epiphyseal Fracture
- Mechanism
- Epiphyseal Plate is weaker than nearby wrist ligaments
- Signs
- Fracture through distal radial epiphysis
- Tenderness to palpation over the radial epiphysis
- Highly suggestive of Fracture
- Radiology: Wrist XRay
- Difficult to identify non-displaced Fracture
- Think Epiphyseal Fracture in children
- Wrist Sprains in children are rare
- Management
- Displaced Radial Epiphyseal Fracture
- Reduce as with Colles Fracture
- Immobilize for 5 weeks
- High suspicion for Fracture without radiologic evidence
- Immobilize in Short Arm Cast or splint for 2 weeks
- Repeat Wrist XRay
- Cast for 2 more weeks if callus present on XRay