Search Our Scientific Publications & Authors

BMC Vet Res 2022 May 16;18(1):183. Epub 2022 May 16.

Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.

Background: One of the traumatic fractures occurring in the hindlimb of the foals is physeal fractures of the tibia. The most common type of proximal tibial fracture in foals is reported to be Salter-Harris type II.

Case Presentation: This case report describes the history, clinical signs, radiographic findings, and surgical management of a proximal physeal fracture of the tibia due to the kick trauma in a 2-weeks-old Kurdish female foal, with signs of left pelvic limb lameness, valgus deviation with non-weight-bearing, non-mobility in stifle region and crepitation in the affected area. Read More

J Chiropr Med 2021 Dec 6;20(4):218-223. Epub 2022 Apr 6.

Radiology Department, Logan University, Chesterfield, Missouri.

Objective: The purpose of this report is to describe the clinical, radiographic, and diagnostic ultrasound findings in a patient who sustained a type III Salter-Harris fracture of the first proximal phalanx.

Clinical Features: A 14-year-old male baseball player presented to a chiropractic clinic with a 2-day history of proximal thumb pain, which began following a forceful hyperabduction injury while sliding into base. Thenar swelling was evident on clinical examination, and both active and passive thumb motions were painful in all directions. Read More

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):370-375. Epub 2022 Apr 19.

Department of Hand and Upper Limb Surgery, Department of Diseases of the Musculoskeletal System, University of Turku, Turku University Hospital and CoE TYKS ORTO, Turku, Finland.

A Galeazzi-equivalent lesion occurs in children and adolescents following a traumatic distal radius fracture when the strong radioulnar ligaments and relative weakness of the ulnar physis result in an avulsion-type Salter-Harris III fracture of the distal ulna. In unreduced fractures, the osteogenic nature of the torn periosteal sleeve may result in the formation of a bifid distal ulna. We describe two cases of bifid distal ulna that developed after missed Galeazzi-equivalent lesions. Read More

J Orthop Case Rep 2021 Nov;11(11):95-98

Department of Joint Replacement and Orthopaedics, Tata Main Hospital, Jamshedpur, Jharkhand. India.

Background: Proximal tibial epiphyseal injuries in adolescents are uncommon accounting to 0.5 to 3 % of all epiphyseal injuries. Although rare, the proximity of popliteal artery puts this region at an increased risk of vascular injury and compartment syndrome. Read More

J Hand Surg Eur Vol 2022 Jul 7;47(7):771-773. Epub 2022 Mar 7.

Pediatric Orthopedic Department, Hospital Dona Estefânia - Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.

Injury 2022 Mar 5;53(3):1005-1012. Epub 2022 Jan 5.

Kartal Dr. Lutfi Kirdar Training and Research Hospital, Department of Orthopedics and Trauma Surgery, Turkey.

Objectives: The aim of this study is determining the factors that affect prognosis of distal tibial physeal fractures (DTPF) and analyzing whether Salter-Harris (SH) or Dias-Tachdjian (DT) classification is more predictive for outcomes.

Methods: Patients treated for DTPF were retrospectively analyzed. Fracture patterns were classified according to SH and DT. Read More

J Belg Soc Radiol 2021 10;105(1):83. Epub 2021 Dec 10.

King's College Hospital, London, GB.

Displacement of torn periosteum into the growth plate is an uncommon pediatric entity following trauma - which can be seen on an MRI as low signal intensity physeal interposition on all pulse sequences, and requires open surgical reduction, as it may lead to growth plate bridging and subsequent extremity length discrepancy. Read More

J Pediatr Orthop 2022 Feb;42(2):109-115

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Background: The management of severe radiocapitellar joint pathologies in young patients is challenging. Radial head arthroplasty (RHA) is a treatment option in the adult population, but most surgeons avoid implementing it in younger patients, and there are no published results for patients younger than 16 years.

Methods: Our retrospective cohort describes 5 patients (4 male 1 female) who underwent cementless modular RHA at an average age of 14 years (range: 13 to 15). Read More

World J Clin Cases 2021 Oct;9(30):9228-9235

Department of Pediatric Orthopaedics, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

Background: Monteggia and equivalent lesions are relatively rare but result in severe injuries in childhood, typically affecting children between 4 and 10 years old. The diagnosis and treatment of an equivalent Monteggia lesion is more complicated than those of a typical Monteggia fracture. This type of lesion may be challenging and may lead to serious complications if not treated properly. Read More

JBJS Case Connect 2021 10 20;11(4). Epub 2021 Oct 20.

Long Island Hand to Shoulder Center, Huntington, New York.

Case: A Salter-Harris II fracture of the small finger middle phalanx with complete extrusion of the epiphyseal fragment in a 6-year-old boy is described. Closed reduction was unsuccessful. Open reduction was performed, the epiphysis was reduced, and a single Kirschner wire was placed obliquely across the fracture and joint. Read More

Pan Afr Med J 2021 12;39:235. Epub 2021 Aug 12.

Service de Chirurgie Générale, Hôpital Saint Jean de Dieu de Tanguiéta, Tanguiéta, Bénin.

Foreign body entrapment in growth plate cartilage is a rare disease. It often occurs in patients with epiphyseal separation. Its diagnosis is radiological, based on brain magnetic resonance imaging (MRI). Read More

J Pak Med Assoc 2021 Sep;71(9):2258-2261

Department of Orthopaedics and Traumatology, Kutahya Health Sciences University, Kutahya, 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. Read More

BMJ Case Rep 2021 Sep 13;14(9). Epub 2021 Sep 13.

Serviço de Ortopedia Pediátrica, Hospital Dona Estefânia - Centro Hospitalar Lisboa Central, Lisboa, Portugal.

Toe injuries are common in the emergency department and most of them are treated conservatively. In some circumstances, these injuries can present as a physeal fracture with concomitant soft-tissue injury affecting the nail bed and resulting in a hidden open fracture. To adequately treat these patients, a high index of suspicion is needed to diagnose and treat the open fractures and to prevent complications such as infection, osteomyelitis, malunion and premature physeal arrest. Read More

Clin Imaging 2021 Dec 27;80:249-261. Epub 2021 Jul 27.

Radiology Department, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: https://twitter.com/ThapaMD.

The pediatric population is prone to unique upper extremity injuries that are not typically seen in adults. The normal dynamic maturation pattern of ossification centers and open physis can potentially confuse radiologists who are not familiar with the pediatric patients. In this review article, we discuss the normal anatomy and commonly encountered acute and chronic upper extremity injuries such as supracondylar distal humeral fracture and osteochondritis dissecans, in pediatric patients. Read More

Am J Emerg Med 2021 Dec 22;50:97-101. Epub 2021 Jul 22.

Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Department of Emergency Medicine, Vancouver General Hospital, Vancouver, British Columbia, Canada. Electronic address:

Objectives: Salter-Harris type 1 (SH1) fractures of the distal fibula are acute orthopedic injuries with tenderness over the physis without radiographic evidence of fracture. Our primary objective was to establish the accuracy of the physical examination performed by pediatric emergency medicine (PEM) physicians in determining the location of the distal fibular physis compared to a criterion standard of ultrasound.

Methods: This was a prospective, observational study at an urban academic pediatric emergency department of a convenience sample of children aged 4 to 10 years old between March 2019 and March 2020. Read More

Curr Med Imaging 2022 ;18(3):322-326

Department of Radiology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei Province, 050051, China.

Background: The clinical and imaging features of lower tibial shaft spiral fracture concurrent with distal tibial triplane fracture are not clear.

Introduction: This study was conducted to investigate these features for correct diagnosis, treatment and prevention of possible premature physeal arrest or angular deformation.

Methods: Patients with lower tibial shaft spiral fracture concurrent with distal tibial triplane fracture were enrolled, and the clinical, imaging, treatment and follow-up data were analyzed. Read More

Jt Dis Relat Surg 2021 11;32(2):468-477. Epub 2021 Jun 11.

SBÜ Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 34147 Bakırköy, İstanbul, Türkiye.

Objectives: In this study, we describe a novel hemiepiphysiodesis technique to prevent implant-related perichondrial ring injury in a rabbit model.

Materials And Methods: Proximal tibial epiphyseal plates of a total of 16 white New Zealand rabbits were used for this animal model. The subjects were divided into three equal groups as follows: Group 1 (Kirschner wire [K-wire]/cerclage), Group 2 (8-plate) right-hind legs, Group 3 (Control) left hind legs. Read More

J Pediatr Orthop B 2022 Mar;31(2):e154-e159

Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, İzmir, Turkey.

The purpose of this study was to investigate the possible effect of Thurston-Holland fragment (THF) size on the development of premature physeal closure (PPC) in distal tibia type 2 epiphyseal injuries. Fifty-eight fractures in 57 patients with a minimum follow-up period of 12 months were included. For statistical analysis, sex and age of the patient, number of reduction attempts, percentage of THF base relative to physis length on anteroposterior or lateral radiograph, maximal initial and postreduction displacement amount, presence of accompanying fibula fracture and trauma mechanism were evaluated. Read More

J Hand Surg Eur Vol 2021 Jun 10;46(5):471-475. Epub 2020 Sep 10.

Olympia Hospital & Research Centre, Tamilnadu, India.

We retrospectively reviewed 20 children with Salter-Harris II fractures of the distal radius treated with intrafocal pinning according to Kapandji. Unlike conventional crossed K-wire pinning, this method avoids crossing the physis with the pins and thus minimizes the risk of physeal damage. None of the children had fracture re-displacement, angulation or growth deformities. Read More

JBJS Case Connect 2021 05 19;11(2). Epub 2021 May 19.

Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York.

Case: An 11-month-old boy was brought to the emergency department because he was refusing to use his right arm. X-rays demonstrated an anteroinferior Salter-Harris I fracture-dislocation of the proximal humeral epiphysis. Closed reduction with sedation was unsuccessful, so open reduction under general anesthesia was pursued. Read More

J Feline Med Surg 2022 02 13;24(2):98-106. Epub 2021 Apr 13.

Department of Clinical Science and Services, Queen Mother Hospital for Animals, The Royal Veterinary College, Hatfield, UK.

Objectives: The aim of this study was to describe the demography, aetiology, location and classification of physeal fractures in cats, and to describe their management and outcomes.

Methods: Clinical records and radiographs of cats referred for management of physeal fractures were retrospectively reviewed. Fractures of the proximal femoral physis were excluded. Read More

J Orthop Surg Res 2021 Mar 27;16(1):224. Epub 2021 Mar 27.

Children's Hospital of Soochow University, No.92 Zhongnan Street, Suzhou Industiral Park, Suzhou, Jiangsu province, China.

Background: The treatment for displaced Salter-Harris II (S-H II) distal tibia fractures remains controversial. The purpose of this study was to review S-H II distal tibia fractures and evaluate the rate of premature physeal closure (PPC) treated by open reduction and internal fixation (ORIF).

Methods: We reviewed the charts and radiographs of S-H II fractures of the distal tibia with displacement > 3 mm between 2012 and 2019 treated by ORIF. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(1):45-49

Klinika dětské chirurgie a traumatologie 3. lékařské fakulty Univerzity Karlovy a Fakultní Thomayerovy nemocnice, Praha.

PURPOSE OF THE STUDY The term toddler's fracture was first coined by J. S. Dunbar in 1964 as a nondisplaced fracture of the distal tibia in children aged 9 months to 3 years. Read More

Pediatr Radiol 2021 Jun 5;51(7):1231-1236. Epub 2021 Feb 5.

Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., MLC 5031, Cincinnati, OH, 45229, USA.

Background: Salter-Harris 2 fractures of the distal radius are common in pediatrics. Children with these fractures have a theoretical risk of developing a physeal bridge with subsequent growth disturbance.

Objective: The purpose of this study was to investigate the clinical utility and economic impact of obtaining routine delayed radiographs in asymptomatic patients with uncomplicated Salter-Harris 2 fractures of the distal radius. Read More

JBJS Case Connect 2020 11 20;10(4):e20.00061. Epub 2020 Nov 20.

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.

Case: A 10-year-old boy presented with a Salter-Harris II distal radius fracture that was irreducible by closed methods. An open reduction was performed in the operating room where a sleeve of periosteum was found interposed between the fracture fragments. Successful reduction was performed without difficulty after the periosteum was removed from the fracture. Read More

JBJS Case Connect 2020 12 24;10(4):e20.00104. Epub 2020 Dec 24.

Department of Orthopaedic Surgery, KU-Wichita, Wichita, Kansas.

Case: We describe a case of posterior hip dislocation in a 13-year-old boy after a contact football injury with attempted closed reduction resulting in complete separation of the epiphysis from the femoral neck metaphysis with associated femoral head fracture and posterior dislocation of the femoral head. Treatment was emergently performed with a greater trochanteric osteotomy, open reduction internal fixation using cannulated screws, and additional small diameter drill holes in the femoral head to promote blood flow. The patient did well postoperatively and at over 4 years follow-up had no evidence of avascular necrosis and returned to full athletics participation. Read More

J Am Podiatr Med Assoc 2020 Nov;110(6)

Backround: We compared postoperative outcomes in adolescent patients who did and did not undergo plate-screw fixation of at least one of the lateral, medial, or posterior malleoli in ankle fractures. It was hypothesized that using plate-screw fixation would not negatively affect postoperative outcomes.

Methods: All of the preoperative data and postoperative outcomes for 56 patients with ankle fractures aged 12 to 15 years who underwent surgical treatment between January 1, 2007, and December 31, 2017, were reviewed retrospectively. Read More

J Biol Regul Homeost Agents 2020 Jul-Aug;34(4 Suppl. 3):295-301. Congress of the Italian Orthopaedic Research Society

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Physeal fractures are typical in childhood and for their involvement of the germinal layer of the physis they can be followed by growth complications. Axial deviation is one of these. Considering the young age of the patients it is critical to restore articular correct alignment with the least invasive surgery possible. Read More

Z Orthop Unfall 2022 04 25;160(2):190-197. Epub 2020 Nov 25.

Orthopaedic Department, Olgahospital Stuttgart, Stuttgart, Germany.

Background: Ulnar humeral condyle fractures are rare paediatric elbow fractures, classified as Salter-Harris IV paediatric elbow injuries. Due to constant radiological changes in the elbow with varying manifestation of ossification centres as well as late ossification of the trochlea, diagnosis of these injuries is challenging. To avoid long-term complications, the treating surgeon should be familiar with the rare injury picture, diagnostics and adequate therapeutic measures. Read More

Oper Orthop Traumatol 2020 Dec 25;32(6):509-529. Epub 2020 Nov 25.

Traumatologie des Bewegungsapparates, Kinderorthopädie, Universitätsklinik für Kinderchirurgie, Inselspital, Universitätsspital Bern, 3010, Bern, Schweiz.

Objective: Safe and stable fixation of metaphyseal and epiphyseal fractures by Kirschner (K-)wire osteosynthesis. Use of various K‑wire configurations depending on the fracture morphology.

Indications: In accordance with the AO Pediatric Comprehensive Classification of Long-Bone Fractures (PCCF), all Salter-Harris (SH) and metaphyseal fractures as well as fractures of the foot and hand independent of the reduction technique, closed or open, provided that adaptation osteosynthesis allows sufficient stability. Read More