23-E/3.1   Simple epiphyseal fractures, Salter-Harris III, both bones

These uncommon fractures are caused by a high-energy fall onto an outstretched hand, usually in adolescents.

These fractures are associated with local tenderness over the distal radius and ulna. Local swelling is usual.

Wrist motion is usually markedly impaired.

X-rays will demonstrate the complexity of the injury. However, a CT scan is necessary to define in detail the fracture pathoanatomy.