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Related Experiment Videos

Physeal Fractures About the Knee.

Edwards1, Grana

  • 1Orthopaedic and Trauma Surgeons and River-side Sports Medicine, Columbus, Ohio.

The Journal of the American Academy of Orthopaedic Surgeons
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

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Pediatric knee injuries, particularly physeal fractures, are common in sports. Effective treatment requires careful evaluation of growth disturbance risk and functional outcomes.

Area of Science:

  • Orthopaedics
  • Pediatric Sports Medicine
  • Skeletal Development

Background:

  • The knee is a frequent site of sports-related injuries in children.
  • Immature skeletal structures like physes and apophyses are unique injury sites in pediatric patients.
  • Distal femoral and proximal tibial physes, along with the tubercle apophysis, are vulnerable to acute and repetitive loads.

Purpose of the Study:

  • To discuss the mechanism of injury, clinical evaluation, treatment, and outcomes of epiphyseal injuries around the knee in children.
  • To highlight the differences between pediatric and adult knee injuries.
  • To emphasize the challenges in treating displaced physeal fractures and assessing growth disturbance risk.

Main Methods:

  • Review of literature on pediatric knee epiphyseal injuries.

Related Experiment Videos

  • Discussion of the Salter-Harris classification system for physeal fractures.
  • Analysis of treatment strategies and outcome evaluation criteria.

    • Main Results:

    • Physeal fractures about the knee are complex to treat, with outcomes not always guaranteed.
    • The Salter-Harris classification offers general risk assessment for growth disturbance but lacks precision for acute damage.
    • Evaluating treatment success requires assessing articular congruity, physeal anatomy, and, crucially, the restoration of normal physeal function and growth.

    Conclusions:

    • Treatment of pediatric knee physeal fractures is challenging, demanding consideration of growth potential.
    • Accurate quantification of physeal damage remains a clinical challenge.
    • Long-term outcomes depend on maintaining normal skeletal growth and function post-injury.