Type I Fracture Research Paper

In a type I fracture, the epiphysis is separated or slipped from the metaphysis.1 The germinal cells of the growth plate remain with the epiphysis, and the calcified layer remains with the metaphysis. (Physeal Injuries) Type I fractures occur most commonly in the distal tibia and fibula,1 but are uncommon in the wrist, accounting for only 8.5% of all Salter-Harris fractures. (Ped.Distal) Upon examination, and athlete will be point tender over the growth plate which warrants a referral to an orthopedist.1 On an x-ray, there is soft tissue swelling near the epiphyseal line, widening of the epiphyseal line, and displacement of the epiphysis from the metaphysis.1 The width of the physis or growth plate can be increased or can appear slipped.1 This fracture could also be missed on an x-ray.1 Growth disturbances rarely occur because of a low rate
(Physeal Injuries) An x-ray will show just that.1 The lateral condyle of the humerus is a common site for this fracture,1 and only 12% of Salter-Harris fractures are type IV. (Ped.Distal) Displaced type IV fractures are rare in young children and can result in articular incongruity or premature physeal arrest. (Type IV) An athlete will present with point tenderness and swelling at the growth plate.1 In most cases, open reduction and internal fixation are required, and prognosis can be poor if precise reduction is not achieved.1 If that occurs, it may lead to growth disturbance and joint deformity.1 Type IV fractures have the highest rate of growth disturbances, (Growth) usually produced by pathological changes of the growth plate from high intensity and duration of sports training, (Physeal Injuries) and surgery should be performed to obtain anatomical reduction.