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KMID : 0378019770200070067
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New Medical Journal
1977 Volume.20 No. 7 p.67 ~ p.76
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Clinical Studies on the Epiphyseal Injuries of Long Bones
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Abstract
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Fractures involving the growth plates in children are common injuries and the injuries present special problems in diagnosis and management. The dread complication of serious disturbance of growth is usually predictable and, in certain circumstances, can be prevented.
This report is based on 92 cases of epiphyseal injuries who were seen and treated at our orthopedic department during the 8 years and one month period from October, 1967 to October, 1975.
The study includes clinical and radiologic observation on our series of epiphyseal injuries. The results may be summarized as follows.
1. The total number of cases was 92 and male patients. predominated by a ratio of 3 to 1. The common causes of injuries were a fall and car accident.
2. The average age was 7 in cases of the injuries of distal humerus, 10 in the injuries of distal radius and 13 in the injuries of distal tibia.
3. Epiphyseal fractures in this series were classified by Salter´s classification and type I was the most common type (48.9%). Type I was seen frequently at the distal radius, type I at the distal tibia and type N at the distal humerus.
4. The order of the frequent sites of epiphyseal injuries was lateral condyle of humerus (27.2%), distal radius (21.7%) and distal tibia (17.4%).
5. In almost all cases of type I and I , gentle closed reduction and cast immobilization was performed, but open reduction and internal fixation in type I and N.
6. The complications of the epiphyseal injuries in this series were 14 cases. These included redisplacement-3 cases, non-union-4 cases, angular deformity-4 cases and limb shortening-3 cases.
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