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See Latest ArticlesIdentifying and managing physeal injuries in the upper extremity
JAAPA, 09/18/09
Smith JR et al. – The rate of injury is high in the upper extremity, specifically in the hand, distal radius, and distal humerus. Diligence is necessary to recognize and manage growth plate injuries. A thorough knowledge of the radiographic findings and clues to injury and comprehension of the patterns of pediatric development will help ensure accurate diagnosis and establish treatment. MRI is the best advanced imaging study if radiography does not define the fracture well. Most fractures require simple immobilization unless they are displaced, unstable, or intra–articular. Regular follow–up appointments are critical to identify growth disturbances, allow early treatment, and minimize poor outcomes.
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