Neglected distal radial epiphyseal injuries can result in radial deformity and positive ulnar variance. We describe an inverted-dome radial osteotomy and ulnar shortening osteotomy to treat a paediatric distal radial malunion with ulnar impaction syndrome.Level of evidence: V.
Keywords: Distal radial fracture; epiphyseal injury; reverse dome osteotomy; ulnar impaction syndrome; ulnar shortening.