scholarly journals Are lateral ankle injuries in children fractures or sprains?

CJEM ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 938-940 ◽  
Author(s):  
Erica Beatty ◽  
Maude Deschênes ◽  
Patrick Archambault
Keyword(s):  
Growth Plate ◽  
Ankle Injuries ◽  
Type I ◽  
Clinical Question ◽  
Distal Fibula ◽  
Lateral Ankle ◽  
Fractures In Children ◽  
Plate Fracture ◽  
Salter Harris

Clinical questionWhat is the prevalence of Salter-Harris type I distal fibula fractures in children with lateral ankle injuries?Article chosenBoutis K, Plint A, Stimec J, et al. Radiograph-negative lateral ankle injuries in children occult growth plate fracture or sprain? JAMA Pediatr 2016;170(1):e154114.

Proximal Humeral Epiphyseal Plate Fracture in a Collegiate Track and Field Decathlete: A Case Study

2008 ◽  
Vol 17 (1) ◽  
pp. 76-83
Author(s):  
Thomas G. Bowman ◽  
Riann Palmieri-Smith
Keyword(s):  
Differential Diagnosis ◽  
Rehabilitation Program ◽  
Epiphyseal Plate ◽  
Track And Field ◽  
Type I ◽  
Plate Fracture ◽  
Strengthening Exercises ◽  
Competitive Activity ◽  
Salter Harris

Objective:To present the case of an 18-year-old collegiate decathlete with a Salter-Harris type I epiphyseal plate fracture of the proximal humerus.Background:A collegiate decathlete was playing flag football and fell on an outstretched arm. He was taken to the emergency room and diagnosed with a type I epiphyseal plate fracture.Differential Diagnosis:AC sprain, dislocation or subluxation, rotator cuff tear, labral tear.Treatment:Active and passive range of motion exercises were completed after two days of immobilization. He then started strengthening exercises and returned to competitive activity in 10 weeks.Uniqueness:Proximal humeral epiphyseal plate fractures are uncommon injuries, especially in athletes over the age of 15.Conclusions:If an accurate diagnosis is made, an appropriate conservative rehabilitation program can be implemented to safely return an athlete to participation without permanent deformity following a type I Salter-Harris fracture.

scholarly journals Monteggia Variant with Salter-Harris Fracture of the Radial Head: Case Report and Litergature Review

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Rajpreet Sahemey ◽  
Anastasios P Nikolaides
Keyword(s):  
Case Report ◽  
Growth Plate ◽  
Radial Head ◽  
Closed Reduction ◽  
Successful Outcome ◽  
Monteggia Fracture ◽  
Type I ◽  
New Variant ◽  
Intramedullary Pinning ◽  
Salter Harris

Introduction:The Monteggia fracture is a fracture to the proximal third of ulna associated with a radial head dislocation. Although this is well described and classified in adults, it is uncommon in children. Identifying growth plate trauma and subsequent surgical management are of critical importance. This report identifies a unique variant of Monteggia fracture with a Salter-Harris Type I injury of the radial head instead of a dislocation, and how it was successfully stabilised with a closed reduction. Case Rport: We present a case of a nine 9 year-old female admitted to our unit with a deformed upper extremity following a fall from height. This was a closed and isolated injury without neurovascular compromise. Radiographs revealed a displaced fracture to the proximal ulna shaft. Unlike a true Monteggia, the radial fracture went through the proximal physis with anterior divergence of the distal fragment. The radiocapitellar joint remained congruent. The ulna fracture was stabilized with open reduction and plate osteosynthesis whilst the radial injury underwent closed reduction and intramedullary pinning with excellent outcomes and maintenance of full range of motion. Conclusion: This case highlights a new variant and successful outcome following a closed reduction intramedullary fixation technique in this emergent pattern of injury. We highlight the need for a classification of these fractures in children. Keywords: Case report, Monteggia, growth plate, pediatric, fracture, trauma, variant.

Let’s Do the Twist

2020 ◽  
pp. 95-102
Author(s):  
Laurie Malia ◽  
Joni E. Rabiner
Keyword(s):  
Decision Rules ◽  
Sports Injury ◽  
Clinical Decision ◽  
Pediatric Emergency ◽  
Low Risk ◽  
Ankle Injuries ◽  
Ankle Sprains ◽  
Ottawa Ankle Rules ◽  
Fractures In Children ◽  
Salter Harris

Ankle injuries are a common presentation to the pediatric emergency department, with ankle sprains significantly more common than ankle fractures. This chapter presents a child with a swollen, painful ankle after a sports injury. Evaluation of ankle injuries is discussed, including use of clinical decision rules such as the Ottawa Ankle Rules and the Low Risk Ankle Rule, which help determine who is at low risk for ankle fracture and may not need radiographic imaging. Classification of fractures in children with open physes using the Salter-Harris nomenclature is reviewed. Management of ankle injuries, including bracing, splinting, casting, need for urgent orthopedic consultation, follow-up, and healing are also discussed.

scholarly journals Periosteal Incarceration in the Growth Plate: A Rare Association in Epiphyseal Detachment Fractures

2021 ◽  
Vol 01 (09) ◽  
Author(s):  
Jordan Boboe ◽  
Keyword(s):  
Soft Tissue ◽  
Growth Plate ◽  
Type I ◽  
After Effects ◽  
Growth Cartilage ◽  
Rare Association ◽  
Salter Harris

Growth cartilage is a pivotal area between the epiphysis and the metaphysis, with relative fragility. She was incarcerated for soft tissue during a Salter-Harris type I epiphysic detachment in a 13-year-old girl. Such a lesion can be easily obscured with irreversible after-effects.

scholarly journals Thyroid Hormone Enhances Aggrecanase-2/ADAM-TS5 Expression and Proteoglycan Degradation in Growth Plate Cartilage

Endocrinology ◽  
2003 ◽  
Vol 144 (6) ◽  
pp. 2480-2488 ◽  
Author(s):  
Seicho Makihira ◽  
Weiqun Yan ◽  
Hiroshi Murakami ◽  
Masae Furukawa ◽  
Toshihisa Kawai ◽  
...  
Keyword(s):  
Thyroid Hormone ◽  
Growth Plate ◽  
Cleavage Site ◽  
Endochondral Ossification ◽  
Core Protein ◽  
Binding Capacity ◽  
Mrna Level ◽  
Cartilage Explants ◽  
Type I ◽  
Proteoglycan Degradation

Abstract Effects of thyroid hormone on proteoglycan degradation in various regions of cartilage were investigated. In propylthiouracil-treated rats with hypothyroidism, proteoglycan degradation in epiphyseal cartilage during endochondral ossification was markedly suppressed. However, injections of T4 reversed this effect of propylthiouracil on proteoglycan degradation. In pig growth plate explants, T3 also induced breakdown of proteoglycan. T3 increased the release of aggrecan monomer and core protein from the explants into the medium. Accordingly, the level of aggrecan monomer remaining in the tissue decreased after T3 treatment, and the monomer lost hyaluronic acid-binding capacity, suggesting that the cleavage site is in the interglobular domain. The aggrecan fragment released from the T3-exposed explants underwent cleavage at Glu373-Ala374, the major aggrecanase-cleavage site. The stimulation of proteoglycan degradation by T3 was less prominent in resting cartilage explants than in growth plate explants and was barely detectable in articular cartilage explants. Using rabbit growth plate chondrocyte cultures, we explored proteases that may be involved in T3-induced aggrecan degradation and found that T3 enhanced the expression of aggrecanase-2/ADAM-TS5 (a disintegrin and a metalloproteinase domain with thrombospondin type I domains) mRNA, whereas we could not detect any enhancement of stromelysin, gelatinase, or collagenase activities or any aggrecanase-1/ADAM-TS4 mRNA expression. We also found that the aggrecanse-2 mRNA level, but not aggrecanase-1, increased at the hypertrophic stage during endochondral ossification. These findings suggest that aggrecanse-2/ADAM-TS5 is involved in aggrecan breakdown during endochondral ossification, and that thyroid hormone stimulates the aggrecan breakdown partly via the enhancement of aggrecanase-2/ADAM-TS5.

scholarly journals Predisposing factors to lateral ankle injury in male comrades marathon runners

2009 ◽  
Vol 65 (1) ◽  
Author(s):  
J. Hiemstra ◽  
N. Naidoo
Keyword(s):  
Correlation Coefficient ◽  
Undergraduate Research ◽  
The United States ◽  
Ankle Injury ◽  
Ankle Injuries ◽  
Distance Runners ◽  
Marathon Runners ◽  
Lateral Ankle ◽  
Ankle Ligament ◽  
Lateral Ankle Ligament

Introduction: More than two million people experience ankle ligament traumaeach year in the United States. Half of these are severe ligament sprains, however verylittle is known about the factors that predispose individuals to these injuries. The purpose of this study, (which was conducted as an undergraduate research project),was to find a correlation between the characteristics of height, weight and limbdominance and lateral ankle ligament injuries. Method: A  retrospective study was conducted on 114 ultra distance runners whoparticipated in the 2006 Comrades Marathon. During race registration, the runners’ height and weight were measuredafter answering a questionnaire regarding their training. Results: 114 runners responded to the questionnaire. From this cohort, 38 (33.3%) had sustained previous lateral ankle injuries. Of these 38 injuries, 47.4% of the injuries occurred on the runner’s dominant limb and 36.8% occurred on thenon-dominant side. 15.8% of the runners sustained previous ankle injuries to both ankles. There was a low negative correlation coefficient of 0.24 with regards to weight as a risk factor. This indicated that the power of the correlationwas 5.93%. The study demonstrates that there is no correlation between an increase in weight and an increase in theincidence of ankle injury. The correlation coefficient indicated a low correlation between an increase in height and the incidence of ankle injury. However, the power of the correlation at 18.37% makes inaccurate any attempt to predict the height at which a runner would be at most risk for lateral ankle injury. Conclusion: Height and weight are not risk factors predisposing subjects to lateral ankle injury. In addition, the studyillustrated that there was no effect of limb dominance on the incidence of lateral ankle injury.

scholarly journals A Rare Case of Pseudoaneurysm of the Brachial Artery in Supracondylar Humerus Fracture

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Shrihari L Kulkarni ◽  
Manjunath S Daragad ◽  
Sunil Mannual ◽  
Yashwanth Krishna
Keyword(s):  
Brachial Artery ◽  
Rare Case ◽  
Saphenous Vein Graft ◽  
Vascular Complications ◽  
Humerus Fracture ◽  
Type I ◽  
Supracondylar Humerus Fracture ◽  
Fractures In Children ◽  
Pulsatile Mass ◽  
Supracondylar Humerus Fractures

Introduction: Supracondylar humerus fractures are very common fractures in children. About 10–14% are associated with vascular complications. We report a rare case of pseudoaneurysm of the brachial artery which was promptly detected in a well-perfused hand nearly 2 weeks after reduction and fixation. Case Report: A 10-year-old girl with Type I open supracondylar fracture of the left humerus (Modified Gartland Type 2) presented 2 weeks post-fixation with pulsatile mass in the elbow. Imaging revealed a pseudoaneurysm of brachial artery which was managed by excision and reconstruction using great saphenous vein graft. The fracture united uneventfully and the child made a full return to pre-fracture level of activity. Conclusion: The case highlights the occurrence of pseudoaneurysm of brachial artery, a rare complication seen few days or weeks after the injury, which coincides with the post-operative period in children managed by surgical fixation. This emphasizes the need for periodic monitoring of the neurovascular status of the children even after successful reduction and fixation. Keywords: Supracondylar humerus fracture, vascular complication, pseudoaneurysm.

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