379 results match your criteria physeal closure


Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure.

Acta Orthop Traumatol Turc 2021 May;55(3):201-207

Department of Orthopaedics and Traumatology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.

Objective: The aim of this study was to present mid-term functional and radiological outcomes of patients with physeal closure who underwent arthroscopic or open internal fixation with headless cannulated compressive screws due to unstable Osteochondritis Dissecans (OCD) lesions of the knee.

Methods: With a diagnosis of unstable OCD of the knee, ten consecutive patients (seven male, three female) with physeal closure (mean age: 23 years; range: 17-40), underwent arthroscopic or open internal fixation with headless cannulated compressive screws. The patients were retrospectively reviewed based on functional and radiological data, with a mean follow-up of 42 months (range: 27-61). Read More

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Does the size of Thurston-Holland fragment have an effect on premature physeal closure occurrence in type 2 distal tibia epiphyseal fractures?

J Pediatr Orthop B 2021 May 20. Epub 2021 May 20.

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

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A Rare Case of Isolated Type III Salter-Harris Physeal Injury of the Distal Ulna.

Cureus 2021 Apr 18;13(4):e14547. Epub 2021 Apr 18.

Department of Orthopedics, All India Institute of Medical Sciences, Nagpur, IND.

Pediatric distal forearm fractures are very commonly seen in orthopedic and trauma services. The majority of such fractures involve either distal radius alone or concomitant with distal ulna physis. Isolated injuries of the distal ulna physis are exceedingly rare. Read More

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Allograft Medial Patellofemoral Ligament Reconstruction in Adolescent Patients Results in a Low Recurrence Rate of Patellar Dislocation or Subluxation at Midterm Follow-Up.

Arthroscopy 2021 May 15. Epub 2021 May 15.

Department of Orthopaedic Surgery, Benioff Children's Hospital Oakland, University of California, San Francisco, San Francisco, California, U.S.A.. Electronic address:

Purpose: To evaluate rates of recurrent instability in adolescent patients with medial patellofemoral ligament (MPFL) reconstruction with allograft and associations of anatomic risk factors with complications.

Methods: A retrospective review identified patients of a single surgeon who underwent MPFL reconstruction with allograft for recurrent patellar instability with minimum 2-year follow-up. Surgical management was recommended after a minimum 6 weeks of nonoperative management and included MPFL reconstruction with gracilis allograft using a double-bundle technique. Read More

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Modification and application of the proximal humerus ossification system to adolescent idiopathic scoliosis patients.

Spine Deform 2021 May 3. Epub 2021 May 3.

Division of Orthopedics, Texas Children's Hospital, Department of Orthopedics, Baylor College of Medicine, Houston, TX, 77030, USA.

Purpose: We have previously demonstrated that proximal humeral ossification patterns are reliable for assessing peak height velocity in growing patients. Here, we sought to modify the system by including medial physeal closure and evaluate whether this system combined with the Cobb angle correlates with progression to surgery in patients with adolescent idiopathic scoliosis.

Methods: We reviewed 616 radiographs from 79 children in a historical collection to integrate closure of the medial physis into novel stages 3A and 3B. Read More

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Traumatic physeal fractures in cats: a review of 36 cases (2010-2020).

J Feline Med Surg 2021 Apr 13:1098612X211005886. 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

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Physeal Fractures of Distal Tibia: A Systematic Review and Meta-analysis.

J Pediatr Orthop 2021 Apr 12. Epub 2021 Apr 12.

Department of Pediatric Surgery, Kuopio University Hospital, Kuopio Department of Pediatric Surgery and Orthopaedics, PEDEGO Research Unit, Oulu University Hospital, University of Oulu, Oulu Department of Orthopedics and Traumatology, HEPO Research Unit, Helsinki University Central Hospital, Helsinki, Finland.

Background: Fractures involving the distal tibia growth plate are common in children. Injury or treatment that damages the growth plate may result in progressive angular deformity or leg length discrepancy. There is no consensus on treatment and follow-up of these injuries. Read More

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Open reduction and internal fixation for displaced Salter-Harris type II fractures of the distal tibia: a retrospective study of sixty-five cases in children.

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

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A Five-Year-Old Slipped Capital Femoral Epiphysis Treated With Dynamic Single Screw Fixation.

Cureus 2021 Jan 29;13(1):e12992. Epub 2021 Jan 29.

Orthopaedic Surgery, The Jikei University School of Medicine, Tokyo, JPN.

Slipped capital femoral epiphysis (SCFE) commonly occurs during puberty. Onset of SCFE at either less than 10 years old or over 16 years is defined as atypical. As in our patient, atypical onset at less than 10 years occurred in 9%, and the age of onset has been decreasing in recent years and that the probability of concomitant obesity is particularly high in young patients without obvious underlying disease or background factors. Read More

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January 2021

Adolescent Tillaux Fractures: A Systematic Review of the Literature.

Cureus 2021 Jan 22;13(1):e12860. Epub 2021 Jan 22.

Trauma and Orthopaedics, Hull University Teaching Hospitals NHS Trust, Hull, GBR.

The Tillaux fracture is an uncommon injury to the anterolateral distal tibial epiphysis. It occurs during a distinct time period when adolescent patients are transitioning to skeletal maturity. Owing to its rarity, the optimal management strategy for this fracture is not well-described. Read More

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January 2021

Paediatric Ankle Fractures: Guidelines to Management.

Indian J Orthop 2021 Feb 6;55(1):35-46. Epub 2020 Oct 6.

Department of Orthopaedics and Spine Surgery, Ganga Hospital, 313, Mettupalayam Main Road, Coimbatore, Tamilnadu India.

Introduction: Paediatric ankle fractures represents about 5% of all paediatric fractures. It is the most common physis to be injured in the lower limb accounting to approximately 15-20% of all physeal injuries. This article reviews the literature on this common injury which still has many controversial areas and gives guidelines to management based on the existing evidence along with clinical experience gained from a Level I trauma center. Read More

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February 2021

Legg-Calvé-Perthes' disease. Congruent aspherity caused by physeal injury.

Rev Esp Cir Ortop Traumatol (Engl Ed) 2021 Mar-Apr;65(2):116-123. Epub 2021 Jan 14.

Servicio de Ortopedia y Traumatología Pediátrica, Hospital Universitario Niño Jesús, Madrid, España.

Introduction: Perthes disease often produces a congruent nonspherical coxa. The most widely accepted cause is initial bone collapse, but some authors refer to physeal injury as the cause of this deformity. We analyze this elliptical process in cases of congruent nonspherical Perthes. Read More

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January 2021

Sanders stage 7b: Using the appearance of the ulnar physis improves decision-making for brace weaning in patients with adolescent idiopathic scoliosis.

Bone Joint J 2021 Jan;103-B(1):141-147

Department of Orthopaedics and Traumatology, University of Hong Kong, Hong Kong SAR, China.

Aims: The aim of this study was to investigate whether including the stages of ulnar physeal closure in Sanders stage 7 aids in a more accurate assessment for brace weaning in patients with adolescent idiopathic scoliosis (AIS).

Methods: This was a retrospective analysis of patients who were weaned from their brace and reviewed between June 2016 and December 2018. Patients who weaned from their brace at Risser stage ≥ 4, had static standing height and arm span for at least six months, and were ≥ two years post-menarche were included. Read More

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January 2021

Osteochondral Allograft Transplantation of the Knee in Adolescent Patients and the Effect of Physeal Closure.

Arthroscopy 2021 05 24;37(5):1588-1596. Epub 2020 Dec 24.

Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: The primary aim was to compare osteochondral allograft (OCA) transplantation outcomes between adolescent patients aged 16 years or younger and those older than 16 years. A secondary aim was to analyze the association between physeal closure status and outcomes.

Methods: Consecutive patients aged 18 years or younger who underwent OCA transplantation with a minimum 2-year follow-up were identified from a prospectively collected database. Read More

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Post-traumatic disturbance of the epiphysis of the humeral trochlea: a spectrum of pathology.

JSES Int 2020 Dec 17;4(4):1011-1017. Epub 2020 Aug 17.

Department of Orthopaedic Surgery, Amphia Hospital, Breda, the Netherlands.

Background: Hegemann disease and fishtail deformity are classified as growth disturbances in the physeal plate of the humeral trochlea. It is questionable if these 2 diseases should be considered as 2 distinct conditions. The aims of this study are to (1) point out similarities between both conditions, (2) discuss etiology, and (3) provide diagnostic tools. Read More

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December 2020

Update on premature physeal closure. Diagnosis and treatment.

Curr Opin Pediatr 2021 02;33(1):79-89

Hospital García-Orcoyen, Estella, Spain.

Purpose Of Review: Premature Physeal Closure (PPC) is the most common consequence of a mostly posttraumatic, physeal injury. They are of utmost importance because they can significantly alter physeal function and lead to disorders such as limb length discrepancies and angular deformities.

Recent Findings: The type of physeal fracture has not demonstrated a solid predictive value in the formation of PPC, especially in the knee where almost any type of fracture can produce it. Read More

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February 2021

Complex Variant of Paediatric Conjoint Bicondylar Hoffa Fracture: A Rare Entity.

Indian J Orthop 2020 Dec 28;54(Suppl 2):408-411. Epub 2020 Aug 28.

Department of Orthopaedics, Government Medical College, Nagpur, Maharashtra 440003 India.

Isolated, closed, conjoint bicondylar Hoffa fracture in a child is extremely rare with only three cases reported in literature till date. We report a complex variant of this very rare injury. An 11-year-old male child reported 2-week post-trauma with history of fall from a tree and injury to his right knee. Read More

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December 2020

Gymnast's Wrist (Distal Radial Physeal Stress Syndrome).

Orthop Clin North Am 2020 Oct 13;51(4):493-497. Epub 2020 Aug 13.

Department of Orthopaedic Surgery and Biomechanical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN, USA.

The distal radial physis is a common site for injury in gymnasts because of the significant amount of load applied during upper extremity weight-bearing. Wrist pain has been reported in up to 88% of gymnasts. The long-term consequences of overuse wrist injuries, such as distal radial physeal arrest, include degenerative conditions that often cause pain and functional limitations. Read More

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October 2020

Outcomes of distally un-threaded screw fixation of slipped capital femoral epiphysis at skeletal maturity: a matched cohort study.

J Pediatr Orthop B 2020 Sep 11. Epub 2020 Sep 11.

Department of Orthopaedic, Sheffield Children's Hospital NHS Trust, Sheffield.

The most common treatment for slipped capital femoral epiphysis worldwide is in situ fixation with a threaded screw. Un-threaded screws are designed to prevent slip progression without hindering residual growth of the proximal femur. This study aimed to compare growth, remodelling and long-term outcomes after fixation with un-threaded screws and a matched cohort of patients treated with a standard screw. Read More

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September 2020

Premature closure of the distal radial physis without evident history of trauma: A case report.

Medicine (Baltimore) 2020 Jul;99(31):e21515

Department of Orthopaedic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Rationale: The distal radius is the region of the body with the highest incidence of physeal injury. However, it is uncommon for the distal radius to undergo growth arrest without a history of trauma. We present a case of premature closure of the distal radial physis without evident history of trauma in a girl. Read More

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Prematurity and Dysmaturity Are Associated With Reduced Height and Shorter Distal Limb Length in Horses.

J Equine Vet Sci 2020 08 22;91:103129. Epub 2020 May 22.

Canine and Equine Research Group, University of New England, Armidale, New South Wales, Australia; School of Environmental and Rural Science, University of New England, Armidale, New South Wales, Australia.

The long-term effects of gestational immaturity in the premature (defined as < 320 days gestation) and dysmature (normal term but showing some signs of prematurity) foal have not been thoroughly investigated. Studies have reported that a high percentage of gestationally immature foals with related orthopedic issues such as incomplete ossification may fail to fulfill their intended athletic purpose, particularly in Thoroughbred racing. In humans, premature birth is associated with shorter stature at maturity and variations in anatomical ratios, linked to alterations in metabolism and timing of physeal closure in the long bones. Read More

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Risk of premature physeal closure in fractures of distal tibia.

J Pediatr Orthop B 2021 Jan;30(1):25-31

Department of Orthopedics and Traumatology.

The reported incidence of premature physeal closure (PPC) in fractures of the distal tibia has varied between 5 and 36%, but there is no consensus on the cause. We wanted to determine incidence and predictors of PPC in distal tibia physeal fractures in a population-based patient cohort. Two hundred forty-one patients (195 Peterson type I-V fractures and 46 transitional fractures) treated for a physeal fracture of the distal tibia during a 5-year period in two tertiary-level teaching hospitals. Read More

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January 2021

Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review.

Eur J Med Res 2020 Jun 9;25(1):21. Epub 2020 Jun 9.

Division of Trauma Surgery, UniversityHospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.

Background: Transitional fractures are fractures in adolescents where partial closure of the epiphyseal growth plate has occurred. These fractures are most commonly reported in the distal tibia. With respect to the distal radius, only a few case reports describing transitional fractures exist. Read More

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Langenskiöld Procedure for Treatment of Partial Growth Arrest of Distal Ulna After Septic Osteomyelitis: A Case Report.

Hand (N Y) 2020 09 23;15(5):722-726. Epub 2020 May 23.

Department of Orthopaedic Surgery, Uji Takeda Hospital, Kyoto, Japan.

Although cases of impaired long bone growth due to bone and joint infections in childhood are sometimes reported, few cases of growth impairment of the ulna due to septic osteomyelitis have been described. We report herein a case of ulnar partial physeal arrest treated using the Langenskiöld procedure. A boy developed septic osteomyelitis of the right distal ulna at age 2 years 6 months. Read More

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September 2020

Genu varum deformity due to premature epiphyseal closure after treatment with isotretinoin for neuroblastoma: A case report.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020924483

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Gyeonggi-do, Republic of Korea.

Isotretinoin, a vitamin A derivative, is known to induce premature epiphyseal closure. We report the case of a 9-year-old boy with neuroblastoma who demonstrated premature epiphyseal closure after 1 year of isotretinoin treatment (72.3 mg/m/day). Read More

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February 2021

Reduction of an Unusual Salter-Harris Type IV Fracture of the Ulna.

Case Rep Orthop 2020 3;2020:8498401. Epub 2020 Mar 3.

Department of Orthopaedic and Trauma Surgery, AZ Delta Hospital, Belgium.

We report the case of a 14-year-old boy with an isolated Salter-Harris type IV physeal fracture of the distal ulna. Following failed closed reduction, transition to open reduction and pin fixation was required. Six-month follow-up showed a favourable clinical evolution. Read More

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[Progress of hip fracture treatment in children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):404-408

Department of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To review the progress of hip fracture treatment in children.

Methods: Literature about the hip fracture treatment in children was extensively reviewed and summarized in terms of anatomy and blood supply, fracture classification, surgical treatment principles, and complications.

Results: The anatomical structure of children's hips and the characteristics of peripheral blood supply constantly change with age. Read More

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Salter-Harris type II fractures of the distal tibia: Residual postreduction displacement and outcomes-a STROBE compliant study.

Medicine (Baltimore) 2020 Feb;99(9):e19328

From the Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, MD.

We assessed factors associated with premature physeal closure (PPC) and outcomes after closed reduction of Salter-Harris type II (SH-II) fractures of the distal tibia. We reviewed patients with SH-II fractures of the distal tibia treated at our center from 2010 to 2015 with closed reduction and a non-weightbearing long-leg cast. Patients were categorized by immediate postreduction displacement: minimal, <2 mm; moderate, 2 to 4 mm; or severe, >4 mm. Read More

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February 2020

Analysis of risk factors for complications after femoral neck fracture in pediatric patients.

J Orthop Surg Res 2020 Feb 19;15(1):58. Epub 2020 Feb 19.

Department of Pediatric Orthopedics, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Yangpu District, Shanghai, 200092, China.

Background: Pediatric femoral neck fracture is a rare injury but yields frequent complications. However, there is a paucity of data regarding the risk factors for these complications.

Purpose: The present article reports the rate of complications after femoral neck fracture in pediatric patients and investigates the possible risk factors. Read More

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February 2020

Middle to long-term results of distal femoral tension band hemiepiphysiodesis in the treatment of idiopathic genu valgum.

J Pediatr Orthop B 2021 Jan;30(1):43-47

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Idiopathic genu valgum is a common deformity in children. Guided growth is the treatment of choice in severe or symptomatic cases, although long-term results are mostly unknown. The purpose of this study was to determine the middle- to long-term results and complications of tension band plating in the treatment of idiopathic genu valgum, and the association between obesity and idiopathic genu valgum. Read More

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January 2021