scholarly journals Salter-Harris type IV fracture of the proximal phalanx of the thumb with rotation of the epiphysis: Outcome 10 years following open reduction and K-wire fixation

2017 ◽  
Vol 31 ◽  
pp. 14-16
Author(s):  
Mohammad M. Al-Qattan
Keyword(s):  
Open Reduction ◽  
Proximal Phalanx ◽  
Type Iv ◽  
Wire Fixation ◽  
Salter Harris

Salter-Harris Type IV Epiphyseal Fracture of the Proximal Phalanx of the Great Toe: A Case Report

1995 ◽  
Vol 16 (4) ◽  
pp. 216-219 ◽  
Author(s):  
Barbara D. Buch ◽  
Mark S. Myerson
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Skeletal Maturity ◽  
Proximal Phalanx ◽  
Normal Function ◽  
Great Toe ◽  
Surgical Reduction ◽  
Type Iv ◽  
Epiphyseal Fractures ◽  
Salter Harris

Epiphyseal fractures account for about one fifth of pediatric fractures. Approximately 10% cause major growth disturbances, depending on the location and type of the fracture and the skeletal maturity of the child. Intra-articular Salter-Harris type IV fractures are rare, carry a poor prognosis, and almost always need surgical reduction to prevent deformity. We present a case report of a pediatric patient who returned to normal function after the successful surgical reduction of a Salter-Harris type IV fracture in the proximal phalanx of the great toe.

Open Reduction and Cerclage Wire Fixation for Long Oblique/Spiral Fractures of the Proximal Phalanx of the Fingers

2008 ◽  
Vol 33 (2) ◽  
pp. 170-173 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
K. AL-ZAHRANI
Keyword(s):  
Open Reduction ◽  
Full Range ◽  
Proximal Phalanx ◽  
Pain Syndrome ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Active Motion ◽  
Cerclage Wire ◽  
Wire Fixation ◽  
Total Active Motion

Fifteen cases of long oblique/spiral fractures of the shaft of the proximal phalanx of the fingers treated by open reduction, cerclage wire fixation and immediate postoperative mobilisation were studied prospectively. Twelve patients presented early (within 24 hour of injury) and the remaining three cases were treated initially elsewhere by closed reduction and percutaneous oblique K-wire fixation with failure of the fixation. The latter three patients presented to our clinic late (10–14 days after injury). Following internal fixation with cerclage wires, no cases of infection, complex regional pain syndrome (CRPS) Type 1, fracture re-displacement, wire migration or extrusion were noted. One patient complained of a palpable wire which was removed 4 months after surgery. All fractures united and all patients returned to work at a mean of 8 (range 7–11) weeks after surgery. Twelve patients obtained a full range of motion (total active motion–TAM = 260°) and the remaining three patients had a mild (5–15°) flexion contracture of the proximal interphalangeal joint. Cerclage wire fixation is an acceptable technique of fixation for these fractures.

The Relative Incidence of Fractures at the Base of the Proximal Phalanx of the Fingers in Children

2008 ◽  
Vol 33 (4) ◽  
pp. 465-468 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
K. AL-ZAHRANI ◽  
A. A. AL-BOUKAI
Keyword(s):  
Prospective Study ◽  
Proximal Phalanx ◽  
Type I ◽  
X Rays ◽  
Type Ii ◽  
Fracture Type ◽  
Type Iv ◽  
Salter Harris ◽  
A Prospective Study ◽  
Musculoskeletal Radiologist

There is debate regarding the most common fracture type at the base of the proximal phalanx of the fingers in children prior to closure of the epiphysis. In total, 100 consecutive children presenting with 103 fractures were included in a prospective study and their X-rays were reviewed by a consultant musculoskeletal radiologist. The study included 61 boys and 39 girls with a mean age of 10 (range 4–14) years. The most common fracture observed was the juxta-epiphyseal type II fracture (53%), followed by the Salter–Harris type II fracture (26%). Other fractures observed included Salter–Harris type I (4%), Salter–Harris type IV (5%), juxta-epiphyseal type I (8%), transverse metaphyseal (2%) and oblique metaphyseal (2%).

Nonunion Following Subcapital (Neck) Fractures of the Proximal Phalanx of the Thumb in Children

1999 ◽  
Vol 24 (6) ◽  
pp. 693-698 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
E. CARDOSO ◽  
J. HASSANAIN ◽  
M. B. HAWARY ◽  
N. NANDAGOPAL ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Proximal Phalanx ◽  
Bone Grafts ◽  
Limited Range ◽  
Interphalangeal Joint ◽  
Mechanism Of Injury ◽  
Fractures In Children ◽  
Wire Fixation

Six cases of nonunion of subcapital (neck) fractures of the proximal phalanx of the thumb in children were seen over a period of 5 years. Ages at the time of injury ranged between 2 and 3 years. Entrapment of the thumb in a closing door was the mechanism of injury in all cases. All fractures were closed and were significantly displaced. Immediate management was by closed reduction and splinting in four cases, closed reduction and K-wire fixation in one case and no treatment in one case, which was later treated by delayed open reduction and K-wire fixation. Only two of the six ununited fractures were eventually treated with bone grafts and both fractures united resulting in a stable thumb but with a limited range of flexion of the interphalangeal joint. Factors that may increase the risk of nonunion of these fractures in children are discussed.

Salter-Harris type III fractures of the distal humerus in two dogs

2011 ◽  
Vol 24 (06) ◽  
pp. 478-482 ◽  
Author(s):  
H. Radke ◽  
S. J. Langley-Hobbs ◽  
G. M. Hayes
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Distal Humerus ◽  
Fracture Type ◽  
Mechanism Of Injury ◽  
Type Iii ◽  
Type Iv ◽  
Salter Harris ◽  
Physeal Closure ◽  
Interfragmentary Compression

SummarySalter-Harris type III fractures of the distal humerus in a four-month-old male Labrador Retriever and a male crossbreed dog (estimated to be 3.5-months-old) are reported. Both fractures were treated with open reduction and interfragmentary compression by lag screw fixation. Both fractures healed and full limb use was regained at four weeks postoperatively.The occurrence of this unusual fracture type may be related to the physeal closure pattern of the distal humeral physis, and a different mechanism of injury compared to the more common Salter-Harris type IV fracture seen in this region.

scholarly journals Type IV tibial tubercle fracture—Salter–Harris type II variant

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Kyle A Andrews ◽  
Marshall Gillette ◽  
Ronit V Shah ◽  
Lucas A Mckean ◽  
Christopher G Sanford
Keyword(s):  
Compartment Syndrome ◽  
Open Reduction ◽  
Soft Tissues ◽  
Skeletal Maturity ◽  
Skin Grafting ◽  
Tibial Tubercle ◽  
Close Monitoring ◽  
High Association ◽  
Type Iv ◽  
Salter Harris

Abstract Fractures about the tibial tubercle are uncommon fracture patterns, seen most often in adolescent males as they approach skeletal maturity. Compartment syndrome has a high association with these fractures requiring close monitoring, and a heightened level of suspicion. Tibial tubercle fractures are typically stratified using the Ogden classification. The type of intra-articular involvement and degree of displacement guide appropriate treatment. This report highlights a 14-year-old male patient who suffered a type IV tibial tubercle fracture with a unique Salter–Harris II, or transitional, component posteriorly that was unable to be closed reduced and developed compartment syndrome. He underwent fasciotomy, open reduction, and temporary external fixation. Once the status of the soft tissues improved, he underwent staged open reduction and internal fixation with skin grafting. The patient’s fracture and soft tissues healed and he currently ambulates without assistance or pain, and has returned to all desired activities including competitive sports.

Stabilization of a Physeal Fracture Using an Orthofix® Partially-threaded Kirschner Wire

1999 ◽  
Vol 12 (02) ◽  
pp. 88-91 ◽  
Author(s):  
D. D. Lewis ◽  
Susan M. Newell ◽  
O. I. Lanz
Keyword(s):  
Internal Fixation ◽  
Successful Treatment ◽  
Kirschner Wire ◽  
Clinical Results ◽  
Rigid Internal Fixation ◽  
Physeal Fracture ◽  
Type Iv ◽  
Salter Harris ◽  
Condylar Fractures

Successful treatment of humeral condylar fractures requires accurate reduction and rigid internal fixation which can be difficult to achieve in toy and/or miniature breed dogs. Stabilization of a Salter-Harris type IV physeal fracture of the numeral condyle was simplified by using Orthofix® partially-threaded Kirschner wire and provided excellent clinical results in a 1.5 kg miniature pinscher

Correction of Fixed Hammertoe Deformity with Resection of the Head of the Proximal Phalanx and Extensor Tendon Tenodesis

1995 ◽  
Vol 16 (7) ◽  
pp. 449-451 ◽  
Author(s):  
Shahan K. Sarrafian
Keyword(s):  
Proximal Phalanx ◽  
Extensor Tendon ◽  
Surgical Correction ◽  
Wire Fixation

A method of surgical correction of a fixed hammertoe deformity is presented. It incorporates the resection of the head of the proximal phalanx with an extensor tendon tenodesis to the dorsum of the proximal phalanx. The controlled tension in the extensor tendon provides the necessary stability. It alleviates the use of K-wire fixation.

Assessment of Humeral Length in Dogs After Repair of Salter-Harris Type IV Fracture of the Lateral Part of the Humeral Condyle

2008 ◽  
Vol 37 (6) ◽  
pp. 545-551 ◽  
Author(s):  
JEAN-BENOIT G. N. G. LEFEBVRE ◽  
THOMAS R. A. ROBERTSON ◽  
STEPHEN J. BAINES ◽  
NICHOLAS D. JEFFERY ◽  
SORREL J. LANGLEY-HOBBS
Keyword(s):  
Lateral Part ◽  
Type Iv ◽  
Salter Harris ◽  
Humeral Condyle
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