Three-dimensional MR imaging in the assessment of physeal growth arrest.

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Abstract

[Indexed for MEDLINE] 7. J Pak Med Assoc. 2021 Sep;71(9):2258-2261. doi: 10.47391/JPMA.597. Should you fix again? An unusual fracture of a distal epiphyseal radius fracture - A case report. Kuyubasi SN(1), Ari B(2), Inal S(1), Uzumcugil AO(1), Oner SK(1). Author information: (1)Department of Orthopaedics and Traumatology, Kutahya Health Sciences University, Kutahya, Turkey. (2)Department of Orthopaedics and Traumatology, Evliya Celebi Training and Research Hospital, Turkey. Currently, Salter-Harris (SH) classification is generally used in physeal fractures, as it is reliable and valuable in many cases. Although this clasification system describes many different fracture configurations, still there is an unclassifed group of fractures. Here, we present the case of an 11-year-old boy who underwent surgery after fracture of distal radial epiphysis,of the type still unclassified according to SH classification. The main reason for ourresearch was that the line of treatment could not be decided initially after the first operation. The current classsifications that are close to SH and essentials on the neccesity of surgical approach were dicussed. Surgery must be attempted in cases in which it cannot be decided whether it is a SH type 2 or 3. Besides this situation, an attempt must be made for the classification of the fracture (Ogden tip 2b, Sferoupulos tip 3). Another important point is to decide where the fracture line goes in the layers of physis. DOI: 10.47391/JPMA.597