Physeal injuries

G. Spence and Deborah M. Eastwood

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI:

Series: Oxford Textbooks

Physeal injuries

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  • Trauma and Orthopaedic Surgery
  • Paediatrics


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Damage to the physis may lead to slowing or angulation of growth, especially if a bone bar forms

Fractures involving the physis may be difficult to diagnose on x-ray

The Salter–Harris classification is commonly used

Fixation of fractures should not cross the physis if it can be avoided

Partial growth arrest may be best treated with a complete epiphysiodesis followed by reconstruction.

Chapter.  3977 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Paediatrics

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