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Journal of Bone and Joint Surgery, 1935;17:302-308.
© 1935 by The Journal of Bone and Joint Surgery, Inc

THE END RESULTS OF THE FRACTURED DISTAL RADIAL EPIPHYSIS

ALEXANDER P. AITKEN M.D.

1. Malposition does not persist. Within a maximum period of two to three years, the epiphysis has again assumed its normal relationship to the shaft. This fact obviates the necessity of repeated manipulation in order to obtain accurate reduction. It also eliminates the use of osteotomy for open reduction.

2. Premature ossification and retardation of growth occur frequently, but in the large percentage of cases are clinically negligible. There will always be the isolated case which will show definite interference of growth with deformity. This is due to damage done at the time of injury.

3. Ossification of the radial epiphysis apparently starts in the ulnar half of the epiphysis.

4. Repeated manipulation adds little, if any, to the trauma done to the epiphysis.


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