scholarly journals An aide-mémoire for the Salter–Harris classification of paediatric growth plate fractures

2015 ◽  
Vol 97 (6) ◽  
pp. 479-479 ◽  
Author(s):  
CE Hill
Keyword(s):  
Growth Plate ◽  
Salter Harris

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.

scholarly journals Metacarpal fractures in children (literature review)

2019 ◽  
Vol 178 (2) ◽  
pp. 85-88
Author(s):  
S. U. Semenov ◽  
N. G. Zhila ◽  
K. M. Komarov ◽  
P. B. Komarov
Keyword(s):  
Growth Plate ◽  
Traditional Approach ◽  
Traumatic Injuries ◽  
Metacarpal Fractures ◽  
Fractures In Children ◽  
Age Related ◽  
Metacarpal Bones ◽  
Extent Of Damage

Hand injury holds one of the first places among injuries of the musculoskeletal system in children. The share of fractures of metacarpal bones account for 10 to 35 % of all fractures, while for 1/5 of pediatric patients they are accompanied by injury to the growth plate. The existing classification of pediatric metacarpal fractures does not accurately reflect the nature and extent of damage to the growth plate; it underestimates or overestimates the nature of the fracture, the degree of displacement of fragments of metacarpal bones with the traditional approach to treatment, without taking into account the age-related anatomical and physiological characteristics of the traumatized child. Further scientific research on the diagnosis and treatment of traumatic injuries of metacarpal bones in children, the introduction of the results of these studies into clinical practice will contribute to improving the quality of care for patients with hand injuries and to preventing disability of the children.

scholarly journals Classifications In Brief: Salter-Harris Classification of Pediatric Physeal Fractures

2016 ◽  
Vol 474 (11) ◽  
pp. 2531-2537 ◽  
Author(s):  
Daniel J. Cepela ◽  
Jason P. Tartaglione ◽  
Timothy P. Dooley ◽  
Prerana N. Patel
Keyword(s):  
Salter Harris ◽  
Physeal Fractures

Fractures and dislocations about the paediatric forearm

2011 ◽  
Author(s):  
A. Bass
Keyword(s):  
Growth Plate ◽  
Type Ii ◽  
Intramedullary Nails ◽  
Salter Harris

♦ Growth plate fractures are common and of these the commonest is a Salter–Harris type II through the distal radial physis. There is considerable capacity for remodelling so reduction may not be needed. Remodelling capacity is inversely proportional to age♦ Elastic intramedullary nails are valuable in the forearm♦ Complications of fractures include malunion, refracture, and cross union.

scholarly journals LO82: Normal bedside ultrasound of growth plates in healthy children

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S36-S36
Author(s):  
E. Beatty ◽  
L. Audette ◽  
A. Paré ◽  
D. Simonyan ◽  
V. Dion ◽  
...  
Keyword(s):  
Growth Plate ◽  
Bedside Ultrasound ◽  
Healthy Children ◽  
Normal Variation ◽  
Rater Reliability ◽  
Growth Plates ◽  
Still Images ◽  
Plate Size ◽  
Salter Harris

Introduction: The diagnosis of Salter-Harris Type 1 fractures in the Emergency Department (ED) is primarily clinical, as radiographs are usually unrevealing. We hypothesize that bilateral asymmetry of the growth plate, detected using bedside ultrasound (US), could improve the accuracy of this diagnosis in the ED. This study seeks to determine growth plate size according to age, and to establish normal variation in bilateral symmetry of growth plate cartilage, for the ulna, radius, tibia, and fibula, using bedside US in normal healthy children. Methods: This prospective observational study was conducted in a convenience sample of children ages 0-17 during planned visits to an elementary school, high school, and an outpatient pediatric clinic. A sample size of 177 was determined with a linear regression model using previously published data on the subject. The study was approved by the hospital and universitys ethics board. After a medical questionnaire with a research nurse, the participants underwent ultrasound evaluation of bilateral ulnae, radii, fibulae, and tibiae, to obtain still images of the physes from two orthogonal views. The evaluations were performed by 3 medical residents, 1 medical student, and by the supervising emergency physician. All ultrasonographers were EDE1 certified and specifically trained for growth plate imagery. The still images were evaluated ulteriorly and measurements taken of the physeal cartilage. Ten percent of the patients had their images re-evaluated by the supervising physician to determine inter-rater reliability. Results: A total of 227 patients were recruited. The median age was 8 years old with an interquartile range of (3;14). Mean growth plate size by age was determined, confirming decreasing growth plate size with advancing age for all articulations. The percentage of absolute difference between right and left, for all growth plates together, was a mean of 17% with a 95% CI of 16-19%. The overall inter-rater reliability was excellent at 0.84. Conclusion: This study establishes a reproducible technique of measuring growth plates with ultrasound. We suspect that increased asymmetry at the growth plate, beyond this established normal variation, may signify a physis widening or hematoma consistent with a Salter-Harris Type 1 fracture; this will be evaluated in a second study.

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