• Aditya V Maheshwari, Anil K Jain, Ish K Dhammi, Sandip Singh, and Ravindra S Chauhan.
• Department of Orthopedics, University College of Medical Sciences and GTB Hospital, Dilshad Garden, 110095, Delhi, India. adi_maheshwari@rediffmail.com
• Arch Orthop Trauma Surg. 2006 Jul 1; 126 (5): 354358354-8.

IntroductionThough 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 MethodsTwo children, aged 6 months and 3 years, respectively, suffered a roadside high velocity trauma and thus form the part of this case report.ResultsBecause of the delay in seeking treatment and, or, the nature of injuries, it was associated with a tragic complication--an amputation in both cases.ConclusionAlthough, 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.

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