Physeal Fractures (Subscribe)  

Objectives
1. Describe the layers of the growth plate, and describe the mechanical strength of each layer.
2. Describe the periphery of the physis, and the role these structures play in mechanical stability of the physis
3. Describe the Salter-Harris classification of growth plate...

In children the growth plate is up to five times weaker than the ligaments stabilising the adjacent joint.The adjacent bone is also stronger than the cartilaginous growth plate. Injury thus often leads to separation of the growth plate leaving the ligaments and capsule intact. The separation takes place in the...

Sprains and strains commonly occurring in active adults are relatively benign injuries. However, when similar injuries occur in growing children, they often result in the potentially more serious growth plate or physeal fracture. This article discusses some of the important orthopedic history relative to the physes, relevant anatomy, classification systems,...

Classification
Aetiology of premature partial growth plate arrest
Location of physeal arrest
Types of Bridge formation
Harris Lines
Substances used to fill defect

Electrical injuries resulting in physeal injury in children are an uncommon but well-recognized clinical entity. Almost all these injuries are sustained from man-made electrical sources. To date, there have been no published cases of growth arrest after lightning strike. The authors report the case of a 12-year-old girl who survived...

Havránek P. J Pediatr Orthop B. 1996 Spring;5(2):115-8.
Department of Pediatric Surgery, Thomayer Teaching Hospital, Prague, Czech Republic.
Six children with a rare injury to the proximal fibular physis in a 5-year period were reviewed. This number of patients constituted only 0.09% of all children's fractures and 2.05% of all fibular fractures...

classification of epiphyseal fractures
I - pure epiphyseal separation
if non-displaced, jt effusion may be only sign
II - metaphyseal fracture + epiphyseal separation
III - epiphyseal fracture
IV - vertically oriented fx thru epiphysis + metaphysis
V - crush injury of epiphysis (not detected acutely)
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