Juniper Publishers-Physeal Injuries are Special

Juniper Publishers-Open Access Journal of Orthopedics & Rheumatology

Physeal Injuries are Special

Authored by Waleed Kishta

Secondary ossification centers for the epiphysis and apophysis evolve through different stages until complete fusion. This evolution leads to variations in fracture patterns and based on mechanism and anatomical location. This is important as roughly 15% of all children fractures involve a physeal injury [1]. In this review, we will briefly touch on the mechanism, pathophysiology, diagnosis, investigations and management of physeal injuries related to secondary ossification. Three stages of secondary ossification, including: pre-ossification, pre-fusion, and incomplete fusion selected. Apophyseal injuries represent a special subset as their injury can fall into several categories based on stage of development.



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