Epiphyseal Growth Plate FracturesThe subspeciality of Pediatric Orthopedics is distin- common of which is fracture. This textbook is an guished from adult orthopedics in many ways. The overview of fractures of the physis, and is divided into two most prominent differences are the small size of three parts: general considerations, anatomic sites of the patients and the presence of growth plates (phy- fracture, and premature partial physeal arrest, the ses). Physes may be injured in various ways, the most most common and onerous complication. iX preface Textbooks are the medium where knowledge is accu- speaking Mayo orthopedic residents, and some recent mulated, evaluated, and stored, and where, hopefully articles which have English abstracts. I have pers- wisdom grows. Assembling facts, made known by ally read all the English articles and abstracts incl- preceding observers, investigators, and authors, ad- ed in the references. In each, I have tried to find at vances the science. Through their effort and insight, least one bit of new, confirmatory, or contrary inf- we benefit. mation or insight. I have avoided citing a bit of infor- The creation of any medical textbook begins with a mation attributed to one author by another author. labor of love, but rapidly takes on a life of its own. Excluded are abstracts followed by published articles, This text was no exception and has been a “work in identical articles published in multiple publications, progress” over my entire 30-year practice of pediatric and works of obvious plagiarism. |
Contents
chapter3 | 22 |
triradiate cartilage anatomyand Growth 755 chapter | 27 |
peterson 1994 | 28 |
Evaluation | 35 |
Management | 44 |
Epidemiology | 50 |
complications | 56 |
complications | 64 |
authors perspective | 333 |
classification | 339 |
chapter 30 | 340 |
complications | 349 |
chapter12 | 389 |
Management | 396 |
Management | 405 |
phalanges of the Foot | 411 |
Management | 71 |
FType6Fracture | 77 |
Evaluation | 84 |
authors perspective | 90 |
the olmsted county study | 99 |
comparison of Data from the literature | 113 |
authors perspective | 128 |
authors perspective | 138 |
chapter8 | 145 |
B compartment syndrome | 154 |
Nerveimpairment | 162 |
ComplicationsManifestingataLaterDate | 169 |
h Malunion | 176 |
J overgrowth | 183 |
refracture | 191 |
part ii | 199 |
Evaluation | 208 |
Management | 215 |
complications | 222 |
chapter10 | 227 |
Evaluation | 235 |
complications | 258 |
classification | 266 |
part iii | 271 |
chapter11 | 273 |
Evaluation | 279 |
Management | 295 |
complications | 303 |
partial physeal arrest | 307 |
A MedialMalleolus | 311 |
Management | 319 |
references | 418 |
Distal ulna | 525 |
Fracturetypes byage 434 Management | 531 |
A LateralCondyle 440 authors perspective | 542 |
proximalhumerus | 549 |
Management | 559 |
complications | 575 |
A Birth Fractures | 581 |
complications | 589 |
Distal Femur anatomyand Growth 595 chapter 21 | 695 |
complications | 718 |
authors perspective 634 references | 731 |
Epidemiology | 737 |
Management | 744 |
Management | 751 |
anatomy and Growth | 791 |
Management | 802 |
Etiology | 811 |
incomplete partialphysealBar | 817 |
authors perspective 788 | 825 |
locationareaand contour | 833 |
classification of Bars | 842 |
General | 849 |
indicationsin humans | 855 |
postoperative care | 863 |
Followup | 872 |
authors perspective | 882 |
with concurrent Bar Excision | 888 |
of Bone containing the physis | 894 |
Forme Fruste Bar | 902 |
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Common terms and phrases
anatomic angular deformity ankle Author’s Perspective avascular necrosis Bone Joint Surg boys cartilage cast classification Clin Orthop clinical closed reduction compartment syndrome complications Continuation see nextpage cubitus varus diagnosis diaphysis distal femur distal fibular distal humerus distal radius distal tibial epiphysis distal ulnar elbow Epidemiology epiphyseal fracture epiphyseal plate epiphysis Evaluation femoral femur fibula fracture type fractures Fig fractures in children fractures occur fractures Table girls growth arrest growth plate humeral epiphysis internal fixation lateral condyle length discrepancy ligament longitudinal Malunion medial malleolus ment metacarpal metaphyseal fragment metaphysis months nonunion normal Olmsted County study open reduction ossification center osteotomy overgrowth patient Pediatr Orthop periosteum Peterson phalanges physeal arrest physeal bar physeal closure physeal fractures physeal injuries physes physis pins premature physeal proximal humeral reported roentgenographs rotation Salter-Harris soft tissue surgery surgical tion trauma treated treatment triplane fracture tures type 2 fractures ulna usually varus wrist