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Author Spotlight: Advancing the Use of Tissue Chip Technology for Studying Human Tissues
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Physeal bar equivalent.

Hamlet A Peterson1, William J Shaughnessy, Anthony A Stans

  • 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Journal of Pediatric Orthopedics. Part B
|October 18, 2016
PubMed
Summary
This summary is machine-generated.

Premature partial physeal arrest, or physeal bar equivalent (PBE), is rare. Early PBE treatment in children can prevent severe limb length discrepancies and angular deformities.

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Area of Science:

  • Pediatric Orthopedics
  • Growth Plate Disorders

Background:

  • Premature partial physeal arrest without osseous bar formation (physeal bar equivalent, PBE) is an uncommon condition.
  • PBE can result from infections near the distal femoral physis in infants.

Observation:

  • Four children diagnosed with PBE following early-onset distal femoral physeal infections were studied.
  • Growth was observed after PBE resection in all cases.
  • Outcomes varied based on diagnosis and treatment timing.

Findings:

  • Early diagnosis and treatment led to better limb length equality, with one case requiring only contralateral physeal arrest.
  • Late diagnosis and treatment resulted in significant limb length discrepancies and angular deformities, necessitating complex surgical interventions.
  • One late-treated case developed a 4.8-cm discrepancy, requiring future surgical equalization.

Implications:

  • Early recognition and prompt intervention for PBE are crucial for optimizing limb length and angular alignment in pediatric patients.
  • Timely management can significantly reduce the need for extensive corrective surgeries later in life.
  • This study highlights the importance of vigilant monitoring and early surgical management of PBE to prevent long-term skeletal deformities.