case_images: PMC6742881_01
case_images: Initial radiographs post-injury.
case_images: JOCR-9-72-g001.jpg
case_images: PMC6742881_01_JOCR-9-72-g001.jpg
case_images: F1
case_images: A, a 9-year-old male, sustained a closed, neurovascularly intact, diaphyseal radius, and ulnar fracture following a fall during karate (Fig. 1).
case_images: Radiograph post-initial closed reduction and immobilization.
case_images: JOCR-9-72-g002.jpg
case_images: PMC6742881_01_JOCR-9-72-g002.jpg
case_images: F2
case_images: A closed reduction was initially attempted (Fig. 2) before the decision was made for internal fixation that same day.
case_images: Intraoperative radiographs.
case_images: JOCR-9-72-g003.jpg
case_images: PMC6742881_01_JOCR-9-72-g003.jpg
case_images: F3
case_images: Following this, an attempt was made to pass a 1.5 mm ESIN down the ulnar; however, the ulnar canal was too narrow, and a plate was subsequently utilized instead (Fig. 3).
case_images: Post-operative radiographs 2 weeks-11 months.
case_images: JOCR-9-72-g004.jpg
case_images: PMC6742881_01_JOCR-9-72-g004.jpg
case_images: F4
case_images: He was seen routinely at 2 weeks, 6 weeks, and 6 months, where radiographs confirmed healing of the ulnar fracture, but not of the radius (Fig. 4).
case_images: Radiographs following removal of original metal work and fixation of radius with compression plate.
case_images: JOCR-9-72-g005.jpg
case_images: PMC6742881_01_JOCR-9-72-g005.jpg
case_images: F5
case_images: At 2-month post-second surgery, there was a fracture union of the radial site (Fig. 5).