K wire

Definition

Rockerbottom foot / Persian Slipper Foot

Epidemiology

Uncommon

50% bilateral

Doesn't delay walking

- may present in toddler with callus under talus head

Associations

Congenital anomalies

- CNS disorders

- spina bifida & diastematomyelia ~10%

- arthrogryposis

- neurofibromatosis 

Incidence

Metaphyseal > physeal / SH2

Aetiology

FOOSH

Operative Management

Indications

Visible deformity

> 20^o angulation

Options

MUA

Types

Dorsal

- most common

Volar

Causes

1.  Acute traumatic peripheral tear TFCC with DRUJ dislocation

- usually major trauma

- dorsal or volar

2A.  Distal radial fracture