A RARE CASE OF SUPRACONDYLAR FRACTURE HUMERUS ASSOCIATED WITH IPSILATERAL DISTAL RADIUS EPIPHYSEAL INJURYCASE REPORT

Abstract

Supracondylar fractures associated with ipsilateral distal radius epiphyseal injuries are a rare entity that is usually missed during preliminary clinical examination and can lead to severe complications if prompt management is not undertaken. We report a similar case which was a result of a fall on an outstretched hand and excessive energy being dissipated across both elbow and wrist which resulted in extension type of supracondylar fracture of the humerus (Gartland type-III) and ipsilateral distal radius epiphyseal injury (Salter-Harris type-II). The patient was managed with closed reduction and internal xation with k-wire pinning of both the injuries and stabilization in a posterior slab for 3 weeks. The patient had a good functional and radiological outcome following this prompt management. We recommend screening radiographs of the distal radius in cases of supracondylar fracture to exclude any epiphyseal injury or fracture for its appropriate management.