Concomitant multiple closed contiguous physeal injuries in a limb with an undescribed 'distractional-separation' type with vascular compromise: a report of two cases.

INTRODUCTION

Though physeal injuries are common in children, concomitant multiple closed contiguous physeal injuries in a limb along with vascular compromise are rare. An associated distractional-separation type of physeal injury is being documented for the first time. We present here two such cases.

MATERIALS AND

METHODS

Two children, aged 6 months and 3 years, respectively, suffered a roadside high velocity trauma and thus form the part of this case report.

RESULTS

Because of the delay in seeking treatment and, or, the nature of injuries, it was associated with a tragic complication--an amputation in both cases.

CONCLUSION

Although, the limb in our cases could not be salvaged, these reports describe these unusual injury patterns for the first time and re-emphasize the awareness of urgent recognition of the associated vascular insult.