AAHS Home  |  2021 Virtual Portal  |  Past & Future Meetings
Countdown to AAHS : 33 Days  
American Association for Hand Surgery

Back to 2022 Abstracts


Adolescent Transitional Fractures of the Distal Radius
Gus J Strauss, MD, Jacob L Brennan, MD, David A Momtaz, MPH, Abdullah N Ghali, MS, Matthew R Landrum, MD and Ryan Adam Rose, MD, UTHSCSA, San Antonio, TX

OBJECTIVE
There is a correlation between degree of physeal closure and fracture pattern in adolescent transitional distal radius fractures.
METHODS
A retrospective chart review was performed of 490 distal radius fractures, ages 14-18, at a single institution between 2007 and 2020. All images were reviewed by a board certified Orthopaedic Hand Surgeon. 36 distal radius fractures were considered adolescent transitional fractures. Salter-Harris classification, fracture fragments, and degree of physeal closure were determined.
RESULTS
Distal radial physeal closure is 50.04 times more likely to be of higher degree in the presence of Salter-Harris Type IV fractures (p<.001). Closure of the physis is also 7.37 and 13.08 times more likely to be of higher degree in the absence of a dorsal metaphyseal fracture and in the presence of an ulnar corner fracture, respectively (p=.011 and p=.021).
DISCUSSION
Adolescent transitional fractures of the distal radius occur when there is partial closure of the growth plate. The closure pattern of the distal radial physis begins centrally, with subsequent ulnar and then radial closure. There is a statistically significant correlation between degree of physeal closure and fracture pattern in adolescent transitional distal radius fractures.


Back to 2022 Abstracts