Management of Physeal Fractures: A Review Article |
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| Authors: | Vivek Singh Varun Garg Shital N. Parikh |
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| Affiliation: | 1.Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India ;2.Department of Orthopaedic Surgery, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229 USA |
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| Abstract: | BackgroundPhysis 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.MethodsIn 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.ResultsDiscussion 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.ConclusionThe 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. |
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| Keywords: | Physis Fractures Growth Arrest Management Review |
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