Salter-Harris I fractures of the distal radius misdiagnosed as wrist sprain

J Emerg Med. 2000 Oct;19(3):265-70. doi: 10.1016/s0736-4679(00)00244-4.


Over a period of 5 years, 65 children under 12 years of age were diagnosed as having "wrist sprain" at the American University of Beirut Medical Center, Emergency Department. Thirty-eight children were reevaluated; 33 patients (86.8%) were diagnosed as having a Salter-Harris I fracture of the distal radius that necessitated further treatment to relieve symptoms and allow early wrist function. The diagnosis of "wrist sprain" is often inadequate in establishing a proper treatment regimen. Rather, by taking a careful history, performing an exacting examination, and utilizing appropriate diagnostic aids, an accurate diagnosis of wrist injury can be established.

MeSH terms

  • Child
  • Child, Preschool
  • Emergency Service, Hospital
  • Female
  • Growth Plate / pathology
  • Humans
  • Male
  • Radiography
  • Radius Fractures / diagnosis*
  • Radius Fractures / diagnostic imaging
  • Sprains and Strains / diagnosis*
  • Sprains and Strains / diagnostic imaging
  • Wrist Injuries / diagnosis*
  • Wrist Injuries / diagnostic imaging