University:
Marywood University
Course:
ANATCELL 2200A | Systemic Anatomy of the Human Body
Academic year:

2021
Views:

53

Pages:

9
Author:

Kyuwon J.

Understanding Epiphyseal Fractures 2200A Anatomy of Long Bone ● Divided into three main parts ○ ○ ○ ● Diaphysis Epiphysis Metaphysis Growth plate(epiphyseal plate) ○ Important on bone growth during childhood Anatomy of Long Bone ● Divided into three main parts ○ ○ ○ ● Diaphysis Epiphysis Metaphysis Growth plate(epiphyseal plate) ○ Important on bone growth during childhood Metaphysis Epiphysis Classiﬁcation of Epiphyseal Fracture ● Salter-Harris Classiﬁcation ○ ○ ○ ○ ○ Type Ⅰ: Growth plate fracture Type Ⅱ: Growth plate and metaphysis Type Ⅲ: Growth plate and epiphysis Type Ⅳ: Growth plate,metaphysis, epiphysis Type Ⅴ: Growth plate compression Types of Fracture retrieved from radiopaedia.org1 Epidemiology ● ● Common in Children and adolescents Commonly on … ○ ○ ○ ○ ● Distal Radius Proximal Tibia Distal Femur Proximal Humerus Usually due to… ○ ○ Traumatic: Sports,falls,direct trauma Non-traumatic: Repetitive stress, metabolic disorder Clinical Presentation ● Signs ○ ○ ● Symptoms ○ ○ ● Swelling Deformity Pain Limited motion2 Diagnosis ○ Physical exam, imaging Complications ● Growth disturbances ○ ● Joint Dysfunction ○ ● Limb length discrepancies Malalignment, impaired function Avascular Necrosis Risk ○ Blood supply disruption Avascular necrosis from blood supply disruption3 Treatment ● ● ● Closed reduction and Immobilization Open reduction and Internal Fixation Monitoring ○ Follow up for healing and complications References 1. Lustosa L. Salter-Harris Fracture Classiﬁcation (mnemonic): Radiology reference article. Radiopaedia. February 17, 2022. Accessed June 5, 2024. https://radiopaedia.org/articles/salter-harris-fracture-classiﬁcation-mnemonic. 2.Shim D-G, Kwon T-Y, Lee K-B. Rectus femoris muscle atrophy and recovery caused by preoperative pretibial traction in femoral shaft fractures-comparison between traction period. Orthopaedics & Traumatology: Surgery & Research. 2017;103(5):691-695. doi:10.1016/j.otsr.2017.05.006 3. Patient education article. Columbia Orthopaedic Group - Patient Education. November 19, 2019. Accessed June 5, 2024. https://education.columbiaorthogroup.com/patient-education-article/hip-fracture-orif-125/?pesource=5.

Understanding Epiphyseal Fractures

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