PMC6742881_01
Initial radiographs post-injury.
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F1
A, a 9-year-old male, sustained a closed, neurovascularly intact, diaphyseal radius, and ulnar fracture following a fall during karate (Fig. 1).
Radiograph post-initial closed reduction and immobilization.
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F2
A closed reduction was initially attempted (Fig. 2) before the decision was made for internal fixation that same day.
Intraoperative radiographs.
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F3
Following this, an attempt was made to pass a 1.5 mm ESIN down the ulnar; however, the ulnar canal was too narrow, and a plate was subsequently utilized instead (Fig. 3).
Post-operative radiographs 2 weeks-11 months.
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F4
He was seen routinely at 2 weeks, 6 weeks, and 6 months, where radiographs confirmed healing of the ulnar fracture, but not of the radius (Fig. 4).
Radiographs following removal of original metal work and fixation of radius with compression plate.
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F5
At 2-month post-second surgery, there was a fracture union of the radial site (Fig. 5).