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Growth plates are particularly vulnerable to injury compared to bone. Children can have an open medial epicondyle growth plate until age 13–17 years old, thus making the medial epicondyle more susceptible to injury. [3] Medial epicondyle fractures are associated with a dislocation of the elbow in about 25% of cases. [citation needed]
Little League elbow, technically termed medial epicondyle apophysitis, is a condition that is caused by repetitive overhand throwing motions in children. "Little Leaguer's elbow" was coined by Brogdon and Crow in an eponymous 1960 article in the American Journal of Radiology. [1] The name of the condition is derived from the game of baseball.
The epiphyseal plate, epiphysial plate, physis, or growth plate is a hyaline cartilage plate in the metaphysis at each end of a long bone.It is the part of a long bone where new bone growth takes place; that is, the whole bone is alive, with maintenance remodeling throughout its existing bone tissue, but the growth plate is the place where the long bone grows longer (adds length).
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Fractures in children generally heal relatively fast, but may take several weeks to heal. [17] Most growth plate fractures heal without any lasting effects. [17] Rarely, bridging bone may form across growth plates, causing stunted growth and/or curving. [17] In such cases, the bridging bone may need to be surgically removed. [17]
A Salter–Harris fracture is a fracture that involves the epiphyseal plate (growth plate) of a bone, specifically the zone of provisional calcification. [2] It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. [3]
Extension type of injury (70% of all elbow fractures) is more common than the flexion type of injury (1% to 11% of all elbow injuries). [4] Injury often occurs on the non-dominant part of the limb. Flexion type of injury is more commonly found in older children. Open fractures can occur for up to 30% of the cases. [3]
The death of the tissues eventually leads to deterioration of the bone's growth plate. The bone's growth plate is defined as the area at the end of a developing bone where cartilage cells change into bone cells. [6] The bone tissue does regrow, but the necrosis can cause temporary problems in the affected area until the strenuous arm and elbow ...