Asian Journal of Orthopaedic Research

Traumatic Bilateral Epiphyseal Injury: A Case Report

Joseph E. Asuquo *

Department of Orthopaedic and Traumatology, Faculty of Medicine, College of Medical Sciences, University of Calabar, Nigeria.

Innocent E. Abang

Department of Orthopaedic and Traumatology, Faculty of Medicine, College of Medical Sciences, University of Calabar, Nigeria.

Chukwuemeka O. Anisi

Department of Orthopaedic and Traumatology, Faculty of Medicine, College of Medical Sciences, University of Calabar, Nigeria.

Best J. Asuquo

University of Calabar Teaching Hospital, Nigeria.

*Author to whom correspondence should be addressed.

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Abstract

Bilateral distal radial epiphyseal injuries are rare injuries in children. So far, only a few cases have been reported. The upper limbs play a vital role in the survival and defense mechanism in children. Therefore, injury to both wrists can be temporarily incapacitating. We reviewed medical records of the patient including clinical findings, radiological studies, treatment and follow up documentation, as well as relevant literature. We present a case of a nine year old boy who sustained bilateral closed distal radial epiphyseal injury following a fall from a coconut tree. He was managed conservatively by closed manipulation and bilateral below elbow cast application. Bilateral distal radial epiphyseal injury is quite rare and debilitating to the affected child. However, it can be successfully treated conservatively.

Keywords: Bilateral, epiphyseal injury, rare, distal radius.

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