Musculoskeletal case studies for medical students
View Table: Case Selection
Back to List
It needs to be reduced and the reduction maintained with either a plaster or smooth K-wires. There is a small possibility of angualtory or other growth deformity. The parents must be warned of this and the patient followed up until skeletal maturity to observe any growth disturbances.
This patient was given a general anaesthetic and a closed reduction was done. The surgeon opted for percutaneous K wire fixation to ensure the reduction dis not slip. Smooth stainless steel wires over the growth plate are innocuous, bur avoid any type of screw or plate fixation that crosses the growth plate. Do not perform internal fixation unnecessarily.