[Treatment of injuries to the epiphyseal synchondrosis (author's transl)]

Treatment of epiphyseal injuries must take the pathophysiology of the epiphyseal synchondrosis into account. According to the present state of knowledge, type I and type V injuries according to Müller can be stabilized sufficiently by means of a plaster cast. All other types of epiphyseal injuries should be subjected to very accurate repositioning and stabilised in "waterproof" condition by means of osteosynthesis to avoid growth disturbance caused by periosteal interposition or callus bridge formation. Hence, surgical treatment is recommended for type II according to Müller as well. In some cases, epiphyseal synchondrosis may close even if greatest care had been exercised during surgery. In all probability, this would be attributable to crush syndrome.