- See:
-
Bone Bridge
-
Distal Femoral Physeal Fractures
-
Epiphyseal Artery
-
Epiphyseal Plate
-
Humeral Physeal Injuries
-
Suprachondylar Fractures of the Humerus
-
Pediatric Tibial Fracture
-
Tillaux Fracture
- Growth-Plate Fractures
- account for 15-20% of major long-bone frx & 34% of hand frx in childhood;
- large majority of these frxs heal w/o any impairment of growth mechanism but some lead to
clinically important shortening & angulation;
- growth-plate frxs may lead to growth disorders due to destruction of
epiphyseal circulation
(inhibits physeal growth), or by formation of
bone bridge to form across growth plate;
-
frx subtypes:
-
type I:
-
type II:
-
type III:
-
type IV:
-
type V:
Injuries involving the eiphyseal plate.
RB Salter, WR Harris.
JBJS Vol 45. 1963. p 587-632.
Current Concepts Review: The Evaluation and Treatment of Partial Physeal Arrest.
Compartmental syndrome complicating Salter-Harris type II distal radius fracture.
Injuries of the epiphyseal plate.
RB Salter.
Instructional Course Lectures. Vol 41. 1992. p 351-359.
Experimental physeal fracture-separations treated with rigid internal fixation.
Early MR imaging of lower-extremity physeal fracture-separations: a preliminary report.
The guarded prognosis of physeal injury in paraplegic children.
Wenger D, Jeffcoat B, Herring A:
J Bone Joint Surg 1980;62A:241-246.
Physeal Fractures. Part 3. Classification.
HA Peterson.
J. Pediatric Orthopedics. Vol 14(4). 1994. p 439-448
