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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...

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A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies
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Published on: July 4, 2017

Salter (Rang) type 6 physeal injury.

P Havranek1, T Pesl

  • 1Thomayer's Teaching Hospital, Department of Pediatric and Trauma Surgery, Prague, Czech Republic. petr.havranek@ftn.cz

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|February 24, 2010
PubMed
Summary

Type 6 physeal injuries are rare bone fractures in children. The study found that athletic activities, not lawnmowers, are now the leading cause, with most cases not requiring surgery.

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Area of Science:

  • Pediatric Orthopedics
  • Skeletal Trauma
  • Growth Plate Injuries

Background:

  • Type 6 physeal injuries are rare, involving displacement of the perichondrial ring, historically linked to lawnmower accidents.
  • These injuries are classified under the Salter and Harris system.
  • Limited large-scale case series exist in medical literature.

Purpose of the Study:

  • To present a significant series of type 6 physeal injuries.
  • To document new observations regarding these rare fractures.
  • To analyze trends in injury mechanisms and patient outcomes.

Main Methods:

  • A retrospective review of 36 children treated for type 6 physeal injuries over 20 years.
  • Data collected included affected bone and physis, injury mechanism, patient demographics, treatment, and sequelae.
  • Analysis of fracture displacement and associated soft tissue injury.

Main Results:

  • The distal fibular physis was most frequently affected, followed by the distal femur and tibia.
  • The majority of fractures (29/36) were undisplaced.
  • Open injuries with soft tissue loss occurred in 3 cases; gunshot wounds accounted for 2.
  • Lawnmower injuries were not observed in this series.

Conclusions:

  • The primary mechanism for type 6 physeal injuries has shifted from lawnmower accidents to closed trauma from sports like soccer.
  • Undisplaced type 6 physeal fractures typically do not require surgical intervention.
  • Open type 6 injuries involve significant soft tissue loss and result from high-energy mechanisms such as road-surface abrasions or gunshot wounds.