Management of Late Displacement (>5 days) of a Previously Reduced Salter II Distal Radius Fracture

A 12-year-old boy sustained a left Salter-Harris type II distal radius physeal fracture. The fracture underwent successful closed reduction but was noted to have displacement at 10 days. Given his age and the type of fracture, remodeling was anticipated, and the fracture was not remanipulated at that time due to the increased risk of physeal injury with late reduction attempts. The fracture went on to union with closed treatment and was noted to have evidence of continued growth and remodeling at last follow-up, with good clinical and radiologic outcomes.