Skip to main content

07.09.2016 | Pediatric Orthopedics (B Heyworth, Section Editor) | Ausgabe 4/2016

Current Reviews in Musculoskeletal Medicine 4/2016

Physeal fractures about the knee

Current Reviews in Musculoskeletal Medicine > Ausgabe 4/2016
Rhianna M. Little, Matthew D. Milewski
Wichtige Hinweise
This article is part of the Topical Collection on Pediatric Orthopedics


While some fractures may be managed similarly in adults and children, physeal fractures are uniquely limited to the pediatric population and require special consideration. Although physeal fractures about the knee are relatively rare, they are occurring more frequently due to increasing youth participation in sports and high-energy recreational activities. The evaluation and management of distal femoral and proximal tibial physeal fractures are similar to one another, but fractures of the tibial spine and tibial tubercle are approached somewhat differently. A thorough understanding of the pertinent developmental anatomy is critical for correlating the clinical findings with the imaging work-up, and for anticipating the most common and the most serious complications of each fracture. Diagnosis is usually made with appropriate plain radiographs with advanced imaging often used for preoperative planning. In general, fracture pattern and degree of displacement determine the need for surgical intervention and the overall outcome. While a variety of fixation techniques or constructs may be used, because of the importance of restoring physeal and articular anatomy for avoidance of growth disturbance and degenerative joint disease, respectively, achieving anatomic, rigid fixation is of greater importance than with many other fracture locations in the growing skeleton.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf

Jetzt e.Med zum Sonderpreis bestellen!

Sichern Sie sich jetzt Ihr e.Med-Abo und sparen Sie 50 %!

Weitere Produktempfehlungen anzeigen
Über diesen Artikel

Weitere Artikel der Ausgabe 4/2016

Current Reviews in Musculoskeletal Medicine 4/2016 Zur Ausgabe

Pediatric Orthopedics (B Heyworth, Section Editor)

Lower extremity growth and deformity

Pediatric Orthopedics (B Heyworth, Section Editor)

Anterior cruciate ligament reconstruction in skeletally immature patients

Outcomes Research in Orthopedics (O Ayeni, Section Editor)

Hip labral repair: options and outcomes

Pediatric Orthopedics (B Heyworth, Section Editor)

Current management of aneurysmal bone cysts

  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.