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epomedicine.com
Salter Harris Classification for Physeal Fracture: Mnemonic
In children, the growth plate (physis) is a zone of cartilate situated between the epiphysis and the metaphysis of long bones. Cartilage is weaker than bone and thus is a common site of fracture. The
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Types of Fracture – Exam Oriented 1. Simple (Closed) Fracture Bone breaks without open wound; skin intact. 2. Compound (Open) Fracture Bone breaks with skin open → high infection risk. 3. Transverse Fracture Straight horizontal break across bone. 4. Oblique Fracture Diagonal break; occurs with twisting & bending forces. 5. Spiral Fracture Bone twists apart; seen in torsion injuries. 6. Comminuted Fracture Bone shattered into 3 pieces; high-energy trauma. 7. Greenstick Fracture Partial break → ch
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Seymour fractures include Salter-Harris I, II, and metaphyseal fractures 2mm distal to the physis. When treating the fracture, the nail should be preserved if possible. CLOSED fractures without nail injury are treated with closed reduction (by hyperflexion) and splinting, or pinning across the DIPJ (if the fracture is unstable). If the reduction is difficult, one can assume tissue interposition and nail plate elevation and removal of soft tissue is indicated (similar to treatment for OPEN fractu
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Distal femoral physeal fractures are often seen among adolescents after high energy sporting collision, usually from a valgus-directed force. The epiphysis separates on the tension side while the metaphysis fractures on the compression side, producing a Salter-Harris type II pattern. Physeal disturbances are common after these injuries and all treatments should be done in a manner to avoid further damage. With this in mind, reduction should be done under general sedation to allow gentle reductio
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