Indian J Orthop. 2021 Jan 13;55(3):525-538. doi: 10.1007/s43465-020-00338-6. eCollection 2021 Jun.
Management of Physeal Fractures: A Review Article.
Indian journal of orthopaedics
Vivek Singh, Varun Garg, Shital N Parikh
Affiliations
Affiliations
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.
- Department of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229 USA.
PMID: 33995857
PMCID: PMC8081798 DOI: 10.1007/s43465-020-00338-6
Abstract
BACKGROUND: Physis is the weakest structure in the skeleton of a child and a frequent site of an injury or fracture. A physeal fracture presents a unique challenge in the management as the sequalae of such an injury could lead to growth disturbances.
METHODS: In this review, mainly focussing on traumatic physeal injuries, the authors discuss the applied anatomy, different fracture patterns, clinical assessment and management of physeal fractures in children.
RESULTS: Discussion on acute physeal injuries as well as physeal arrest and approach to its management is presented. Past attempts for treatment of physeal injuries and recent advances in their management is also discussed.
CONCLUSION: The ideal approach to treat physeal injuries should take into account the location of injury, age of the patient, fracture type and growth potential of the involved physis. Prompt diagnosis and physeal-respecting treatment techniques are important.
© Indian Orthopaedics Association 2021.
Keywords: Arrest; Fractures; Growth; Management; Physis; Review
Conflict of interest statement
Conflict of interestThe authors declare that they have no confict of interest.
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