Fractures through the physis accounts for 21–30% of pediatric long bone fractures with 30% of these leading to a growth disturbance:
Most frequently seen in the distal radius and ulna...
Most commonly occurs after a fall
Extreme cold and radiation can injure the physeal plate.
If lower extremity invo...
Immobilize limb in position found if no compromise in vascular status
Apply ice or cold packs to injury.
Assess injured extremity for neurologic and vascular function.
Open surgical reduction required
Consider with Type III and IV fractures
Low-grade fractures and fractures with higher grade if fol...
Limb length discrepancy if entire growth plate affected
Angulation if only a part of the physis is affected
In patients with suspected SH fracture and negativ...
Rathjen KE, Birch JG. Physeal injuries andgrowth disturbances. In: Beaty JH,Kasser JR,eds. Rockwood & Wilkins’Fractures in Children. 6th ed. Philadelphia, PA: Lippincott Willi...
812.09 Other closed fracture of upper end of humerus
813.42 Other closed fractures of distal end of radius (alone)
813.43 Closed fracture of distal end of ulna (alone)
824.8 Unspecified fractur...
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