Physeal injuries of the cervical spine.

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Abstract

[Indexed for MEDLINE] 4. J Am Acad Orthop Surg Glob Res Rev. 2024 Apr 29;8(5):e23.00284. doi: 10.5435/JAAOSGlobal-D-23-00284. eCollection 2024 May 1. Management of Pediatric Supination-inversion Ankle Injuries Involving Distal Tibia and Intraepiphyseal Distal Fibula Fractures. Shermetaro J(1), Sosnoski D, Ramalingam W, Tamai J. Author information: (1)From the Department of Orthopedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (Dr. Shermetaro, Dr. Sosnoski, Dr. Ramalingam, and Dr. Tamai), and the Department of Orthopedic Surgery, Corewell Health, Farmington Hills, MI (Dr. Shermetaro and Dr. Sosnoski). Pediatric ankle fractures are prevalent injuries that make up a notable portion of all periphyseal injuries. The Salter-Harris classification is the most popular classification about physeal and periepiphyseal injuries. Ogden expanded on this and described type 7 fractures which are completely intraepiphyseal and include propagation of the fracture from the articular surface through the epiphyseal cartilage and do not involve the physis. These injuries are common about the distal fibula in pediatric patients with supination-inversion type injuries. There are no specific guidelines or recommendations on treatment of these injuries in the literature. We present three cases of this injury pattern and describe our chosen management that leads each patient to full, painless ankle range of motion and return to all prior activities and sports without complication. Supination-inversion type pediatric ankle fractures are common injuries that all orthopaedic surgeons will encounter at some point throughout their practice or training. Recognizing fracture variants and understanding treatment options of pediatric ankle fractures are important for the orthopaedic community as a whole. Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. DOI: 10.5435/JAAOSGlobal-D-23-00284 PMCID: PMC11057792