Authors of section


Fergal Monsell, Dalia Sepulveda

General Editor

Chris Colton

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23-E/2.1   Simple epiphysiolysis with metaphyseal wedge, Salter-Harris II, both bones

This is an uncommon combination of fractures. It is usually caused by a fall onto an outstretched hand.

These fractures are associated with local tenderness over the distal radius and ulna. Local swelling is usual. Visible deformity is often present; this is usually a posterior translation.

Note: Be aware of nonaccidental injury in infants.


X-ray shows a complete fracture, direction of displacement, and size of the metaphyseal fragments.

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