PMC7276563_01
(a) Radiography image of the right wrist demonstrates deformity of the medial portion of the radius and ill-defined physeal lines. (b) Coronal magnetic resonance image T1-weighted demonstrates the presence of a fibrous physeal bar with hypointense signal.
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F1
Radiography on admission showed a marked deformity at the medial border of the right distal radius at the level of the distal radioulnar joint due to the formation of a small bony bridge between epiphysis and metaphysis at the site of fracture (Fig. 1).
PMC7276563_02
(a) Picture taken during surgery, showing the bridge of bone resection of the distal radius. (b) Screw fixation of the bone block of the iliac crest and apophyseal cartilage.
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F2
The angular deformity was corrected by an osteotomy followed by plate fixation (Fig. 2).
Post-operative radiographs showing the grafted area (a) 5 weeks and (b) 12 months after operation.
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F3
During the follow-up, the continuity of the open physis and the progressive lengthening of the right distal radius was documented by X-rays (Fig. 3).
Active range of motion at follow-up.
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F4
At follow-up, 4 years after surgery, the range of movement in both wrists was symmetrical (Fig. 4).
Radiography 4 years after operation.
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F5
Radiographs showed a satisfactory alignment of distal radius (Fig. 5).