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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

3.8K
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...
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Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
308

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Related Experiment Video

Updated: Sep 24, 2025

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Salter Harris Fracture Type II.

Trilok Stead1,2, Alice Bai1, Shreya Rajachandran1

  • 1Brown University.

Orthopedic Reviews
|May 9, 2022
PubMed
Summary

A 14-year-old boy sustained a Salter-Harris type II tibial fracture with subluxation after a basketball fall. This case highlights an unusual fracture pattern involving the proximal tibial physis without epiphyseal damage.

Keywords:
Pediatric long bone fractureSalter-Harris fracture

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Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • Salter-Harris type II fractures are common physeal injuries in pediatric patients.
  • Tibial metaphyseal fractures require careful evaluation due to proximity to the physis.
  • Basketball is a common sport associated with lower extremity injuries.

Observation:

  • A 14-year-old male presented with right knee pain and immobility post-fall during basketball.
  • Radiographic evaluation revealed a Salter-Harris type II fracture of the tibial metaphysis.
  • Anterior subluxation of the proximal tibia was noted on X-ray.

Findings:

  • The fracture involved the tibial metaphysis, extending into the physis (Salter-Harris type II).
  • An unusual anterior subluxation of the proximal tibia was present.
  • Crucially, the epiphysis remained intact, differentiating it from other physeal injury types.

Implications:

  • This case underscores the importance of detailed radiographic assessment for physeal fractures.
  • Operative management by a pediatric orthopedic specialist was indicated for optimal outcomes.
  • Understanding unusual fracture patterns is vital for accurate diagnosis and treatment in pediatric orthopedics.