What is a Salter-Harris Type 2 fracture?
What is a Salter-Harris Type 2 fracture?
Salter-Harris type II fractures are the most common type of physeal fractures that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will be left intact.
Does distal fibula fracture need surgery?
When the syndesmosis is damaged at the ankle, an injury that can occur along with a fibula fracture, surgery is often required to restore the alignment of the bones. Fibular fractures with ankle injuries will usually require surgery to correct.
How long does it take for a distal fibula fracture to heal?
Distal Fibula Stress Fracture – with follow up
| Healing: | This normally takes approximately 6 weeks to heal. |
|---|---|
| Pain and Swelling: | The swelling is often worse at the end of the day and elevating it will help. Pain and swelling can be ongoing for 3-6 months. Take pain killers as prescribed. |
Which Salter-Harris fracture has the best prognosis?
Type I and II have a good prognosis as the blood supply to the germinal layer ( ephyseal side) is still intact and angulation and growth arrest are uncommon. Type III Injury This fracture occurs only rarely,and is seen in the pre pubescent child.
How long does it take for a Salter-Harris Type 2 fracture to heal?
Usually, these fractures heal in four to six weeks. The length of time the injury remains immobilized in a cast or sling depends on the particular injury. Your child may need crutches to get around, if the injured limb shouldn’t be weight-bearing while it’s healing.
How do you treat a Salter-Harris Type 2 fracture?
Salter-Harris fractures are usually caused by traumatic injuries and result in symptoms of pain and swelling near the end of a long bone. Diagnosis is often made through a clinical examination and X-ray. Treatment for all types of these fractures typically involves rest, application of ice, and elevation of the limb.
Does a broken fibula need a cast?
The general process for healing a fibula fracture is immobilization with a splint or cast for several weeks, after which you might get a walking boot to help you walk. Recovery time depends on factors such as: the severity of the injury and the presence of any other injury at the same time. your age.
Is it OK to walk on a fractured fibula?
Because the fibula is not a weight-bearing bone, your doctor might allow you walk as the injury recovers. You also might be advised to use crutches, avoiding weight on the leg, until the bone heals because of the fibula’s role in ankle stability.
How long do you wear a cast for a broken fibula?
“Typically, it’s non-weight-bearing or limited weight-bearing for six weeks,” says Dr. Rios. “Most fractures will have some degree of protected weight-bearing for 10-12 weeks, then at least another month to fully rehabilitate.”
Should you walk on a broken fibula?
Immediate Treatment You are likely to find it very difficult to walk and stand for long periods of time with a broken fibula, so it’s not a condition you can easily ignore. It’s important to remember the acronym RICE: Rest, Ice, Elevate, especially right after the break.
What causes Salter-Harris fracture?
Salter-Harris fractures usually result from a traumatic event, such as a fall or motor vehicle collision. The bone injury may also develop over time from repetitive pressure on the long bone during sports or other high-impact activities.
How do you fix a Salter-Harris Type 2 fracture?
Frequently, Salter-Harris fractures can be reduced manually. For severe fractures, a procedure called an open reduction internal fixation (ORIF) may be required in which open surgery is performed to correct the bone position. Pinning and screws can help secure the bone fragments in place.
Which is weaker the physis or the distal fibula?
Distal Fibula Fractures • The Physis is Weaker than the Lateral Ankle Ligaments – Children Often Fracture the Distal Fibula but…. – …ligamentous Injuries are Not Uncommon • Mechanism of Injury = Inversion of a Supinated Foot
How to treat a SH II distal tibia fracture?
SH II Distal Tibia Fractures: Treatment Anterior Physeal Gapping > 3 mm s /p Reduction May Indicate Entrapped Periostium and be Predictive of Early Physeal Arrest Herring JA, ed. Tachdjian’s Pediatric Orthopaedics,5thEd.
How many children have a distal fibula fracture?
Distal Fibula Fractures • Sankar et al (JPO 2008) – 37 Children – All with Open Physes, Lateral Ankle Tenderness + Normal Films – 18%: Periosteal Bone Formation at 3 Weeks • Boutis et al (JAMA Pediatr 2016)
What kind of fracture is a Salter I fracture?
Salter I (Slipped) This is when the fracture line extends through the physis or within the growth plate. Type I fractures are due to the longitudinal force applied through the physis which splits the epiphysis from the metaphysis.