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KMID : 0383419680090020211
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Korean Modern Medical Journal
1968 Volume.9 No. 2 p.211 ~ p.217
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Clinical Observation on the Epiphyscal Separation of Long Bone
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Abstract
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It is well known that the longitudinal growth of the long bone is enacted by epiphyseal cartilage which has unusual sensitivity to injuries.
This report is a review of 66 cases of epiphyseal separation-with its cartilage injuries during the past 9 years, from 1956 to 1964.
1) The sex ratio was 4.5 male to 1 female.
2) The ratio between the right and left extremities. was nearly equal.
3) The frequency in order of epiphyseal separation was lateral epicondylar fracture of the humerus, medical epicondylar fracture of the humerus, lower radial and upper femoral epiphyseal separation. The lateral and medial epicondylar fracture of the humerus occupied. 506. of all.
4) The separation of proximal humeral epiphysis resulted in remarkable shortening of the extremity.
5) Radial and medical epicondylar fracture of humerus gave little if any influence in longitudinal growth of humerus but produced. remarkable deformities.
6) In one case of upper femoral epiphyeal separation, avascular necrosis ensued.
7) Open reduction is indicated in cases of epiphyseal separation extending into the joint cavity and fracture of prersure epiphysis.
8) Epiphyseal separation of the long bone should be reduced with utmost precaution because of the possibility of further damage to the original injury leading to severe deformity and shortening.
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