Inverted dome radial osteotomy and ulnar shortening for neglected paediatric distal radial epiphyseal injury with ulnar impaction syndrome

J Hand Surg Eur Vol. 2024 Dec 12:17531934241307501. doi: 10.1177/17531934241307501. Online ahead of print.

Abstract

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.