Management of an Open Distal Radius Epiphysiolysis in a 14-year-old Male: A Case Report

INTRODUCTION: Open fractures in children are uncommon and usually the result of a high-energy trauma. Open distal radius fractures are even more uncommon. In our clinic, we managed a pediatric open fracture separation of the distal radius due to hyper extension and axial load, with low-energy movement of the wrist. To the best of our knowledge, no other similar case or case series is published in literature. CASE REPORT: Our case involved a 14-year-old male who had been pushing a heavy object during a basketball match. The patient presented at our emergency department with metaphysis of the distal radius protruding through a transverse volar laceration in the wrist. The patient was immediately taken to the operating room and underwent debridement and internal stabilization of the fractures. The wrist was observed for 18 months and no complication occurred. CONCLUSION: Through this case report, we present an unusual type of injury that has never been described before; also, we show that the principles of treatment that stand for open fracture in adult patients can be used for children as well.