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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).
Temporary hemiepiphysiodesis is also known as guided growth surgery or growth modulation surgery. Temporary hemiepiphysiodesis is reversible i.e. the metal implants used to achieve epiphysiodesis can be removed after the desired correction is achieved and the growth plate can thus resume its normal growth and function. In contrast, permanent ...
Many bones in the body contain an epiphysis, a region critical for growth and articulation. The humerus, for example, is situated between the shoulder and elbow and contributes significantly to upper limb movement. Below the elbow are the radius and ulna, two bones that run parallel to each other.
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]
Most growth plate fractures heal without any lasting effects. [1] Rarely, bridging bone may form across the fracture, causing stunted growth and/or curving. [1] In such cases, the bridging bone may need to be surgically removed. [1] A growth plate fracture may also stimulate growth, causing a longer bone than the corresponding bone on the other ...
SCFE is a Salter-Harris type 1 fracture (fracture through the physis or growth plate) through the proximal femoral physis, which can be distinguished from other Salter-Harris type 1 fractures by identifying prior epiphysiolysis, an intact (in chronic SCFE) or partially torn (in acute SCFE) periosteum, and the displacement being slower. Stress ...
The prognosis is good for stable lesions (stage I and II) in juveniles with open growth plates; treated conservatively—typically without surgery—50% of cases will heal. [68] Recovery in juveniles can be attributed to the bone's ability to repair damaged or dead bone tissue and cartilage in a process called bone remodeling.
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