The patient with premature epiphyseal closure: male, 12 years old, fourth and fifth metacarpal neck fracture of the right hand. A No epiphyseal closure was found in the anteroposterior image postoperatively. B After removal of the k-wire, X-rays showed that the angulation of the metacarpal was completely corrected. C Oblique images showed a second fracture of the fourth, fifth metacarpal after 4 months. D Local magnification radiograph indicated premature epiphyseal closure.