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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).
It contains the growth plate, the part of the bone that grows during childhood, and as it grows it ossifies near the diaphysis and the epiphyses. The metaphysis contains a diverse population of cells including mesenchymal stem cells , which give rise to bone and fat cells, as well as hematopoietic stem cells which give rise to a variety of ...
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 ...
Overuse injuries of the Musculoskeletal System, page 331. Informa Health Care, 2004. ISBN 978-0-8493-1428-5. Salter–Harris fracture: R.B. Salter, W.R. Harris [5] fractures involving a growth plate: various: Salter–Harris fractures at Medscape: Segond fracture: Paul Segond: lateral tibial plateau avulsion fracture with anterior cruciate ...
Growth plate injuries, as in Salter-Harris fractures, require careful treatment and accurate reduction to make sure that the bone continues to grow normally. Plastic deformation of the bone, in which the bone permanently bends, but does not break, also is possible in children.
Epiphyseal growth plate: This transverse layer lies between the epiphysis and diaphysis. It’s composed of highly active chondrocytes and responsible for longitudinal bone growth. Consequently, the bone elongates at this growth plate until closure occurs at skeletal maturity.
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]