The proportion of distal fibula Salter–Harris type I epiphyseal fracture in the paediatric population with acute ankle injury

2016 ◽  
Vol 25 (2) ◽  
pp. 126-132 ◽  
Author(s):  
Mikael Hofsli ◽  
Trine Torfing ◽  
Zaid Al-Aubaidi
CJEM ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 938-940 ◽  
Author(s):  
Erica Beatty ◽  
Maude Deschênes ◽  
Patrick Archambault

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.


1999 ◽  
Vol 12 (4) ◽  
pp. 1065 ◽  
Author(s):  
Sung Ho Hahn ◽  
Bo Kyu Yang ◽  
Seung Rim Yi ◽  
Sung Hwan Yoo

1996 ◽  
Vol 21 (1) ◽  
pp. 136-138 ◽  
Author(s):  
H. HASHIZUME ◽  
K. NISHIDA ◽  
D. MIZUMOTO ◽  
H. TAKAGOSHI ◽  
H. INOUE

A dorsally displaced epiphyseal fracture of the middle phalanx (Salter–Harris Type I) is described. The epiphyseal fragments were attached to the central slip of the extensor tendon and collateral ligaments. The articular surface of the PIP joint was intact and smooth. The epiphysis was reduced and fixed without cutting the central slip or the collateral ligaments 8 months after injury. This kind of fracture can occur in the PIP and DIP joints, and presents special diagnostic difficulties. Open reduction is evidently necessary to correct the displacement.


2008 ◽  
Vol 17 (1) ◽  
pp. 76-83
Author(s):  
Thomas G. Bowman ◽  
Riann Palmieri-Smith

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.


2021 ◽  
Vol 3 (1) ◽  
pp. 38-40
Author(s):  
Ziyad AlShaqsi ◽  
Sara Alhabsi ◽  
Yumna Alnaabi ◽  
Yaqoub Almufargi

Proximal tibial fractures are very rare. Our case is about a six-year-old girl presented with proximal tibial triplane fracture associated with proximal and distal fibula and distal tibial fractures, as a result of a fall of a cement wall on her right knee. A radiograph and computerized tomography (CT) scan were reported as Salter-Harris type III fracture. She was treated by an open reduction and internal fixation by a screw and Kirschner wires. She was followed up for 12 months and showed an excellent knee outcome and her knee range of motion was 10-130o. Anatomical reduction and stable fixation are necessary to prevent future pain, deformity and arthritis. The case demonstrates the efficacy of using an open reduction and internal fixation by a screw and Kirschner wires in treating children with triplane proximal tibial fracture.  This type of fracture is not frequently seen and a right diagnosis leads to better management, which could prevent future complications


2015 ◽  
Author(s):  
Dalia Ibrahim
Keyword(s):  
Type I ◽  

2019 ◽  
Vol 109 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Sermet Inal ◽  
Kadir Gok ◽  
Arif Gok ◽  
Ahmet Murat Pinar ◽  
Canan Inal

Background: We sought to investigate the different configurations of Kirschner wires used in distal femur Salter-Harris (SH) type 2 epiphyseal fracture for stabilization after reduction under axial, rotational, and bending forces and to define the biomechanical effects on the epiphyseal plate and the fracture line and decide which was more advantageous. Methods: The SH type 2 fracture was modeled using design software for four different configurations: cross, cross-parallel, parallel medial, and parallel lateral with two Kirschner wires, and computer-aided numerical analyses of the different configurations after reduction were performed using the finite element method. For each configuration, the mesh process, loading condition (axial, bending, and rotational), boundary conditions, and material models were applied in finite element software, and growth cartilage and von Mises stress values occurring around the Kirschner wire groove were calculated. Results: In growth cartilage, the stresses were highest in the parallel lateral configuration and lowest in the cross configuration. In Kirschner wires, the stresses were highest in the cross configuration and lowest in the cross-parallel and parallel lateral configurations. In the groove between the growth cartilage and the Kirschner wire interface, the stresses were highest in the parallel lateral configuration and lowest in the cross configuration. Conclusions: The results showed that the cross configuration is advantageous in fixation. In addition, in the SH type 2 epiphyseal fracture, we believe that the fixation shape should not be applied in the lateral configuration.


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