Rotated Salter-Harris type II fracture of the phalanx

A Salter-Harris type II fracture with a rotational deformity involving the proximal phalanx of the ring finger is described for the first time. An undetected rotational deformity accompanying a Salter- Harris fracture compounds the fracture's healing since it does not remodel, resulting in a malrotated union. Therefore, a cautious clinical and radiographic assessment is required, and fracture reduction should always be coupled with a correction of any evident rotational deformity.