Epiphyseal injuries present a special challenge to the sports medicine professional Salter-Harris Type III fractures involving the physis, epiphysis, and articular surface are uncommon (1). Because of the proximity of this fracture site to the knee joint, it is especially important that the clinician be aware of this type of injury when working with the adolescent athlete. This case adds to others previously reported in the English literature.
Thomas W. Kaminski and Thomas L. Schildwachter
Kevin M. Guskiewicz, Gregory G. Degnan and Thomas L. Schildwachter
Ligamentous injuries of the wrist and hand are the most common upper extremity injuries seen in young athletes. Unfortunately, these injuries are also the most frequently misdiagnosed. The “sprained wrist” often becomes the diagnosis of convenience, especially once a fracture has been ruled out. In many cases the athlete is treated symptomatically with cryotherapy, immobilization, and rest, and returns to activity as pain allows. Concern, however, has increased recently over potential complications related to associated ligamentous injuries in young athletes. The most common recognized, carpal instability is between the scaphoid and the lunate, the so-called scapholunate dissociation (3).