![]() ![]() With any fracture involving the joint surface, there is a risk of future arthritis in that joint. With any fracture involving the growth plate, there is a risk of growth arrest. The majority of fractures heal well and the outcome is excellent. Any concern should prompt immediate return to ED for evaluation. Provide parents with " Caring for your child in a leg cast" and warning signs of a tight cast: increased pain despite analgesia, change in toes - colour, perfusion, increased swelling. There is a risk of compartment syndrome with the cast. The child should remain non-weight bearing until instructed by orthopaedics. Isolated distal fibula physeal fractures should be followed up in fracture clinic in 7-10 days with repeat x-ray.įor undisplaced distal tibial physeal fractures, follow-up in fracture clinic should occur within 7 days with a repeat x-ray.įor displaced distal tibia physeal fractures managed with closed reduction and immobilisation should be reviewed in fracture clinic within 5 days.įor tillaux and triplane fractures < 2mm displacement, these can be followed up in 7 days. There is also a fracture of the distal shaft of the fibula.įigure 6: A) X-ray showing tillaux fracture (2 mm displacement Salter-Harris type III distal tibia fractureįigure 5: Sixteen year old boy with a Salter-Harris type III fracture of the distal tibia.Due to poor alignment, a screw was inserted across the fracture site. This was initially managed with closed reduction. Salter-Harris type II distal tibia fractureįigure 4: Displaced Salter-Harris type II distal tibia fracture with associated fibula fracture.It is usually diagnosed clinically with localised tenderness above the distal fibula. The only radiographic finding may be soft tissue swelling over the distal fibular physis. In a Salter-Harris type I fracture, the fracture may not be evident on x-ray. ![]()
0 Comments
Leave a Reply. |