Injuries Involving the Epiphyseal Plate

Salter, Robert B.; Harris, W. Robert

doi:10.2106/00004623-196345030-00019

Cited by 1,554 publications

(522 citation statements)

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“…The mean age was 10.1 years. 72 cases (23.4%) were diagnosed as physeal fractures according to the Salter-Harris classification [12]. In 231 cases the injury was classified as a subcapital fracture (76.2%).…”

Section: Methodsmentioning

confidence: 99%

“…This explains the typical fracture types. Isolated epiphyseal separation is rare and occurs typically in newborns and toddlers [11,12]. Because of the high potential of spontaneous correction due to the proximal humeral epiphysis the prognosis of proximal humerus fractures is good.…”

Section: Introductionmentioning

confidence: 99%

“…Several hypotheses were described about the etiology of growth plate damage after trauma, e.g. Aitken [16] or Salter and Harris [12] and guidelines have been set forth by many others, e.g. Blount [14] and von Laer [13].…”

Section: Introductionmentioning

confidence: 99%

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Physeal injuries of the proximal humerus: long-term results in seventy two patients

Binder

Schurz

Aldrian

et al. 2011

International Orthopaedics (SICOT)

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Purpose The aim of this study was to evaluate our treatment methods of proximal humeral physeal injuries retrospectively and elucidate the relationship between the trauma mechanism, the radiographic injury pattern, the consequent therapy and the functional outcome, and to further deduct and verify prognostic criteria. Methods At our Department of Trauma Surgery, 303 children and adolescent patients with fractures of the proximal humeral epiphysis were treated from 1992 to 2009. 72 cases were diagnosed as physeal fractures according to the Salter-Harris classification and were included in our study. Results 15 physeal fractures of the proximal humerus were reconstructed anatomically by open or closed reduction and produced 93.3% excellent results. 57 physeal fractures were treated in a conservative way and produced 94.7% excellent results. Conclusion We state that epiphyseal injuries should to be treated depending on the age of the patient. This is the only way to decrease the rate of posttraumatic epiphysiodesis with consequent problems, including limb-length discrepancy and/or angular deformities.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physeal injuries of the proximal humerus: long-term results in seventy two patients

Binder

Schurz

Aldrian

et al. 2011

International Orthopaedics (SICOT)

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“…There are diagrams depicting the Salter Harris classification of fractures involving the epiphyseal plate found in the X-ray section (Fig. 5) [2], and extensor compartments of the wrist found in the MRI section (Fig. 6).…”

Section: Purpose/features/contentmentioning

confidence: 99%

Radiology Toolbox Pro App Review

Rahmani

2017

J Digit Imaging

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“…Most patients are treated with closed reduction and percutaneous fixation, followed by casting immobilization [6]. There is a general consensus that displaced fractures should be operatively stabilized with internal fixation, including displaced Salter-Harris [8] I or II fractures, even if they have been successfully reduced with closed methods. The undulating physis remains unstable following reduction and should still be pinned since it cannot be fully stabilized with casting alone [9].…”

Section: Treatmentmentioning

confidence: 99%

Physeal fractures about the knee

Little

Milewski

2016

Curr Rev Musculoskelet Med

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While some fractures may be managed similarly in adults and children, physeal fractures are uniquely limited to the pediatric population and require special consideration. Although physeal fractures about the knee are relatively rare, they are occurring more frequently due to increasing youth participation in sports and high-energy recreational activities. The evaluation and management of distal femoral and proximal tibial physeal fractures are similar to one another, but fractures of the tibial spine and tibial tubercle are approached somewhat differently. A thorough understanding of the pertinent developmental anatomy is critical for correlating the clinical findings with the imaging work-up, and for anticipating the most common and the most serious complications of each fracture. Diagnosis is usually made with appropriate plain radiographs with advanced imaging often used for preoperative planning. In general, fracture pattern and degree of displacement determine the need for surgical intervention and the overall outcome. While a variety of fixation techniques or constructs may be used, because of the importance of restoring physeal and articular anatomy for avoidance of growth disturbance and degenerative joint disease, respectively, achieving anatomic, rigid fixation is of greater importance than with many other fracture locations in the growing skeleton.

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Injuries Involving the Epiphyseal Plate

Cited by 1,554 publications

References 0 publications

Physeal injuries of the proximal humerus: long-term results in seventy two patients

Physeal injuries of the proximal humerus: long-term results in seventy two patients

Radiology Toolbox Pro App Review

Physeal fractures about the knee

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