Physeal fractures of the distal tibia and fibula (Salter-Harris Type I, II, III, and IV Fractures)

David A. Podeszwa, Scott J. Mubarak

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Physeal fractures of the distal tibia and fibula are common and can be seen at any age, although most are seen in the adolescent. An understanding of the unique anatomy of the skeletally immature ankle in relation to the mechanism of injury will help one understand the injury patterns seen in this population. A thorough clinical exam is critical to the diagnosis and treatment of these injuries and the avoidance of potentially catastrophic complications. Nondisplaced physeal fractures of the distal tibia and fibula can be safely treated nonoperatively. Displaced fractures should undergo a gentle reduction with appropriate anesthesia while multiple reduction attempts should be avoided. Gapping of the physis >3 mm after reduction should raise the suspicion of entrapped periosteum that will increase the risk of premature physeal closure. Open reduction of displaced Salter-Harris type III and IV fractures is critical to maintain joint congruity and minimize the risk of physeal arrest.

Original languageEnglish (US)
JournalJournal of Pediatric Orthopaedics
Volume32
Issue numberSUPPL. 1
DOIs
StatePublished - Jun 2012

Fingerprint

Fibula
Tibia
Wounds and Injuries
Periosteum
Ankle
Anatomy
Anesthesia
Joints
Population
Therapeutics

Keywords

  • Pediatric ankle fractures
  • Physeal arrest
  • Physeal fractures
  • Tilleaux fractures
  • Triplane fractures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

Physeal fractures of the distal tibia and fibula (Salter-Harris Type I, II, III, and IV Fractures). / Podeszwa, David A.; Mubarak, Scott J.

In: Journal of Pediatric Orthopaedics, Vol. 32, No. SUPPL. 1, 06.2012.

Research output: Contribution to journalArticle

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