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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]
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).
Little League elbow is most often seen in young pitchers under the age of sixteen. The pitching motion causes a valgus stress to be placed on the inside of the elbow joint which can cause damage to the structures of the elbow, resulting in an avulsion (separation) of the medial epiphyseal plate (growth plate). [3]
At the end of the formation of the secondary ossification center, the only two areas where the cartilage remains is at the articular cartilage covering the epiphysis and at the epiphyseal plate between the epiphysis and diaphysis. [3] A schematic for long bone endochondral ossification: [4]
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]
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Epiphysiodesis is a pediatric orthopedic surgery procedure that aims at altering or stopping the bone growth naturally occurring through the growth plate also known as the physeal plate. There are two types of epiphysiodesis: temporary hemiepiphysiodesis and permanent epiphysiodesis.
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