$salter harris type 3 fracture$

$salter harris type 3 fracture$

SALTER HARRIS TYPE 3 FRACTURE FULL

Commonly there is an associated ulna fracture (greenstick, physeal or styloid).įigure 1: Dorsal (posterior) displacement of the distal fragment is usually the result of a fall on an extended wrist. Extension of the wrist at the time of injury causes the distal fragment to be displaced dorsally (posteriorly). The most common mechanism of injury is a fall on an outstretched hand (Figure 1). Distal radial physeal fractures are uncommon in children younger than five years. The Salter-Harris type II fracture is the most common type. The peak age for injury to the growth plate is in the pre-adolescent growth spurt. How common are they and how do they occur? Radial physeal fractures can occur in isolation or be associated with an ulna fracture (greenstick, physeal or styloid). Physeal fractures are classified by the Salter-Harris classification and whether the radius, ulna, or both bones are injured. Not seen in acute injury diagnosis usually made in retrospect Refer to orthopaedics - usually requires open reduction and internal fixation (ORIF)įracture clinic as per post-operative orders Refer to orthopaedics if unable to perform closed reductionįracture clinic within 5 days of immobilisation Reduction is not advisable after ≥5 days of initial injury

$salter harris type 3 fracture$ $salter harris type 3 fracture$

Undisplaced: Below-elbow plaster backslab or removable splint for 4 weeksĭisplaced: Closed reduction and below-elbow plaster backslab for 4 weeks Rarely associated with growth disturbance Salter-Harris fracture type and frequency What are the potential complications associated with this injury?.What is the usual ED management for this fracture?.Do I need to refer to orthopaedics now?.When is reduction (non-operative and operative) required?.What radiological investigations should be ordered?.How common are they and how do they occur?.Moreover, any SH III fracture visible on plain radiographs should be treated with open reduction, internal fixation.Distal radial physeal fractures - Fracture clinics Thus, it is strongly recommended that an MRI or CT scan be obtained on every SH III fracture of the distal femur. This type of fracture pattern is extremely unstable and the true displacement is often underestimated by x-rays. This study and earlier studies have shown a high rate of poor results with SH III fractures of the distal femur. The treatment of 4 patients (29%) was changed based on the findings of the additional MRI or CT scan.

SALTER HARRIS TYPE 3 FRACTURE FULL

Ten of the 14 patients (71%) had no physical limitations and full knee motion at their most recent follow-up visit. Six patients who had both plain x-ray and MRI or CT scan had a measured displacement of 0.42 mm and 2.70 mm, respectively (paired Student t test, P=0.005). Plain x-rays significantly underestimated the displacement of SH III fractures versus MRI or CT scan. The average time between the initial plain x-ray and MRI or CT scan was 37.48 days (range: 3 h to 6 mo). Fracture displacement on plain x-ray was compared with the fracture displacement measured on MRI or CT scan. A total of 14 patients (average age: 13 y, 11 mo range: 7 y, 8 mo to 17 y, 11 mo) with an average follow-up time of 21.50 months (range: 2 to 47 mo) were included in this study. The purposes of this study were to: (1) compare the intra-articular fracture displacement measured on plain x-ray and magnetic resonance imaging (MRI) or computed tomography (CT) scan and (2) report the outcomes of patients with a SH III fracture of the distal femur.Īll SH III distal femur fractures treated at a large Children's Hospital with a Level I Pediatric Trauma Center between 19 were retrospectively reviewed. Salter-Harris (SH) III fractures of the distal femur, although rare, can have devastating effects.

$salter harris type 3 fracture$

Salter harris type 3 fracture