What is an epiphysheal fracture?
fracture at one of the ends of a long bone in a growing child, including its growth plate, is known as an epipheseal fracture. Cartilage discs near every end of the immature long bones allow bone growth. These areas of growing tissue, known as epipheseal plates, harden as a child ripen into adulthood. Growth plates in bones are the weakest regions of skeletal structures and are prone to injuries called fractures. This type of fracture is sometimes referred to as men's fracture or Salter Harris fracture. Between these two areas there is an extended part of the bone at each end called metaphysis. Between the epiphysis and the metaphýsis at each end of the long bone there is an epiphysis plate. Depending on what part of the bone they are violated, the fracture may be classified as one of the five or six types of fractures.
Fractures of type I Involve complete department of the epiphysis from metaphysis. The break passes through the epiphysis plate that remains attached to the epiphysis. Such a fractureAnd it usually requires immobilization and sometimes requires relocation of bones if significant relocation occurs. Assuming that there is no interruption of blood supply to the epiphysis plate, it is likely that the bone will grow normally.
fractures via growth plate and metaphysis, but not included in the epiphysis, are classified as type II fractures. It is the most common type of fracture of the epipheseal. With immobilization and resting and moving bones or growth plates if necessary, the fracture is usually treated and strengthened over time.
A rare fracture in which part of the epiphysis and growth plates are separated from the metaphysis is classified as a fracture of the epipheseal fractures of type III. Teenagers are the bridge likely to suffer this injury. It usually occurs at the lower end of the tibia, which is one of the long bones located in the lower leg. For this more serious type of brokenIny is sometimes necessary surgery. However, if the blood supply is maintained on a separate part of the epiphysis, the chances of normal bone growth are still good.
type IV fractures pass through the epiphysis, an epiphysis plate and a metapys. For this very serious injury, surgery is usually necessary to make the bone pieces perfectly. If this alignment is not perfectly maintained during the recovery, the view for proper bone growth is bad.
Compression fractures of epipheseal plates are rare and generally include crushing bone ends and growth plates. This injury, classified as a fracture of the Epifysal type V, is associated with poor prognosis, which usually leads to premature growth. It is difficult to detect and often remains undiagnosed until the normal growth is obvious. Such fractures usually require surgical treatment and often also require later remedial surgery.
Some classification systems add a fracture VI of the Epiphysis in which it is completely missingPart of the epiphysis, epiphysis board and metaphysis. Such fractures are usually the result of a trauma, such as an accident with a heavy machine, a blow to the shot and so on. As with type V fractures, these fractures usually require surgical treatment and later reconstruction surgery. They also usually lead to stunted growth.
The diagnosis of epiphese fracture is not always easy. After examining the patient, the doctor usually orders the X -ray of the affected area. For the purposes of comparison, a second X -ray of comparable areas that is not injured, such as the second elbow, can also be ordered. In cases where findings from these X -rays are not sufficient, further displaying such as computer ass or magnetic resonance imaging may be required.