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Case Reports in Orthopedics
Volume 2012 (2012), Article ID 928231, 3 pages
http://dx.doi.org/10.1155/2012/928231
Case Report

Acute Ulnar Shortening for Delayed Presentation of Distal Radius Growth Arrest in an Adolescent

Regional Orthopaedic Unit, Our Lady’s Hospital, Navan, Co-Meath, Ireland

Received 22 June 2012; Accepted 30 September 2012

Academic Editors: J. Mayr, P. Park, T. Tsurumoto, and M. H. Zheng

Copyright © 2012 Prasad Ellanti and Paul Harrington. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Distal radius physeal fractures are common in children and adolescents. However, posttraumatic growth arrest is uncommon. The management of posttraumatic growth arrest is dependent on the severity of the deformity and the remaining growth potential of the patient. Various treatment options exist. We present a 17-year-old male with distal radius growth arrest who presented four years after the initial injury. He had a symptomatic 15 mm positive ulnar variance managed with an ulnar shortening osteotomy with the use of the AO mini distractor intraoperatively. To the best of our knowledge, an acute ulnar shortening of 15 mm is the largest reported.