(A) A markedly displaced Salter-Harris type IV fracture of the distal radius in an 11-year-old boy who fell from a horse.
(B) X-ray taken 3 weeks after closed reduction demonstrates displacement of the comminuted fragments.
(C) Eighteen months after injury, there was 15 mm of radial shortening, and the patient had a pronounced radial deviation deformity of the wrist.
Reproduced with permission from: Waters PM, Mih AD. Fractures of the distal radius and ulna. In: Rockwood and Wilkins' Fractures in Children, 6th ed, Beaty JH, Kasser JR (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Copyright © 2006 Lippincott Williams & Wilkins.
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