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Epiphyseal Growth Plate Fracture-Separations

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Abstract

Epiphyseal growth plate fracture-separations describe the relationship of these injuries to possible growth deformities. These represent the main subset of childhood fractures contributing a major way to limb deformity. Cell biology, and histopathology of growth plate injuries are reviewed, commonly used pathoanatomic classifications are explained, and the presence or absence of growth sequelae is outlined. Each major physis is reviewed regarding clinical management and results. A pathophysiologic approach is outlined providing a more dynamic and biologic understanding and classification of these injuries at the cell and tissue level. Imaging modalities beyond plain radiographs, such as magnetic resonance imaging, computerized tomographic scanning, and ultrasound, provide information on blood supply and tissue injury planes which are the main determinants of negative growth sequelae. Management is detailed to eliminate, minimize, or when necessary treat transphyseal bone bridges.

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References

  1. Reichel GC. De epiphysium ab ossium diaphysi diductione, Leipzig 1759. In: Sandifort E editor. Thesaurus Dissertationum, vol 1. Rotterdam: Henricum Beman; 1768. p. 1–32.

    Google Scholar 

  2. Laurent. Observations pour servir a l’histoire du decollement des epiphyses des os longs. J Comp Dict des Sc Med. 1818;1:317–326.

    Google Scholar 

  3. Roux. Lettre sur le decollement epiphysaire. La Presse Medicale. 1837;1:436–438.

    Google Scholar 

  4. Poland J. Traumatic separations of the epiphyses. London: Smith Elder and Company; 1898.

    Google Scholar 

  5. Fontenelle J. Observation d’un decollment des condyles du femur. Arch Gen Med. 1825;9:267–70.

    Google Scholar 

  6. De la Goyrand G. Fracture, par contre-coup, de l’extremite inferieure du radius. J Hebd des prog des Sc Med. 1836;1:161–83.

    Google Scholar 

  7. Rognetta. Memoire sur la divulsion des epiphyses. Gazette Medicale. 1834;2:433–438, 449–454, 481–487, 513–519.

    Google Scholar 

  8. Gueretin. Recherches sur le decollement spontane et traumatique des epiphyses. La Presse Medicale. 1837;1:289–294, 297–301, 305–308.

    Google Scholar 

  9. Wilson J. Lectures on the structure and physiology of the parts composing the skeleton and on the disease of the bones and joints of the human body. London: Burgess and Hill; 1820.

    Google Scholar 

  10. Poland J. The diagnosis of traumatic separation of the epiphyses. Pediatrics. 1897;4:49–60.

    Google Scholar 

  11. Smith RW. Observations on disjunction of the lower epiphysis of the humerus. Dublin Quart J Med Sci. 1850;9:63–74.

    Article  Google Scholar 

  12. Canton E. Two cases of excision of the knee-joint for forcible separation of the lower epiphysis from the shaft of the femur. Dublin Quart J Med Sci. 1861;31:74–83.

    Article  Google Scholar 

  13. Marjolin, Richet, Lefort, Guersant, Giraldes. Discussion on epiphyseal separations, Dec 6, 1865 meeting Societe Imperiale de Chirurgie. In: Paper presented at Societe Imperiale de Chirurgie. Paris: Gaz Des Hospitaux; 1865.

    Google Scholar 

  14. Smith RW. Address in surgery. Epiphysary disjunctions. Br Med J. 1867;ii(121–124):121.

    Google Scholar 

  15. Broca P. Sur quelque points de l’anatomie pathologique du rachitisme. Bull Soc Anat Paris. 1852;27(141–167):542–96.

    Google Scholar 

  16. Foucher. Recherches sur la disjonction traumatique des epiphyses. Moniteur des Sci Med Pharm. 1860;2:713–717.

    Google Scholar 

  17. Foucher JTE. The classic. Separation of the epiphyses. Clin Orthop Relat Res. 1984;188:3–9.

    Google Scholar 

  18. Bret J, Curtillet J. Du decollement traumatique des epiphyses. La Province Medicale. 1982;6:40–3.

    Google Scholar 

  19. Vogt P. Die traumatische epiphysentrennung und deren einfluss auf das langenwachsthum der rohrenknochen. Archiv f Klin Chir. 1878;22:343–73.

    Google Scholar 

  20. Bruns P. Ueber traumatische epiphysentrennung. Archiv f Klin Chir. 1881;27:240–64.

    Google Scholar 

  21. Ollier L. Traite Experimental et Clinique de la Regeneration des Os et de la Production Artificielle du Tissue Osseux, vol. 1. Paris: Masson; 1867.

    Google Scholar 

  22. Ollier L. De l’entorse juxta-epiphysaire. De ses consequences immediates ou eloignees au point de vue de l’inflammation des os. Rev Chir Orthop. 1881:785–809.

    Google Scholar 

  23. Poncet A. Les deformations produites par l’arret d’accroissement d’un des os de l’avant-bras et des causes de cet arret de developpement; description des pieces pathologiques. Lyon Medical. 1872;11:594–603.

    Google Scholar 

  24. Bidder A. Experimente uber die kunstliche hemmung des langenwachstums von rohrenknochen durch reizing und zerstorung des epiphsenknorpels. Archive f Exp Path Pharm. 1873;1:248–63.

    Article  Google Scholar 

  25. Nove-Josserand G. Des troubles de l’accroissement des os. Consecutifs aux lesions des cartilages de conjugaison. Rev Chir. 1894;14:385–403.

    Google Scholar 

  26. Cornil V, Coudray P. Fractures du cartilage de conjugaison, fractures juxta-epiphysaires et fractures des extremities osseuses. Au point de vue experimental et histologique. Arch Med Exp Anat Path. 1904;16:257–344.

    Google Scholar 

  27. Cornil V, Coudray P. Reparation des fractures et decollements du cartilage de conjugaison; frequence des reccourcissments consecutifs a ces traumatismes. Assoc Fr de Chir. 1904;17:604–17.

    Google Scholar 

  28. Tapret, Chenet. Arrachement de l’extremite inferiecure du femur; decollement epiphysaire et arrachement de parcelles osseuses de la diaphyse. Bull Soc Anat Paris. 1875;10:20–6.

    Google Scholar 

  29. Simpson AR. On diastases in the bones of the lower extremities of the foetus produced by the accoucheur. Edinb Med J. 1880;25:1057–60.

    Google Scholar 

  30. Hutchinson JJ. Injuries to the epiphyses and their results. Lecture I. Br Med J. 1983;2:53–6.

    Article  Google Scholar 

  31. Hutchinson JJ. Injuries to the epiphyses and their results. Lecture II. Br Med J. 1893;2:1417–9.

    Article  PubMed  CAS  Google Scholar 

  32. Hutchinson JJ. Injuries to the epiphyses and their results. Lecture III. Br Med J. 1893;1:669–73.

    Article  Google Scholar 

  33. Jouon E. Contribution a l’etude des decollements traumatiques des epiphyses des os longs. Rev d’Orthop. 1902;3:217–45.

    Google Scholar 

  34. Jouon E. Decollement traumatique de l’epiphyse superieure de l’humerus. Rev d’Orthop. 1902;3:291–325.

    Google Scholar 

  35. Jouon E. Decollement traumatique de l’epiphyse inferieure de l’humerus. Rev d’Orthop. 1902;3:379–414.

    Google Scholar 

  36. Jouon E. Decollement traumatique des epiphyses femorales. Rev d’Orthop. 1902;3:475–508.

    Google Scholar 

  37. Wolff O. Ueber traumatische epiphysenlosungen. Deut Zeit f Chir. 1900;54:273–324.

    Article  Google Scholar 

  38. Kirmission E. Decollements traumatiques des epiphyses. Assoc Fr Chir. 1904;17:572–96.

    Google Scholar 

  39. Delens E. Des decollements traumatique de l’epiphyse inferieure du femur. Arch Gen Med. 1884;1(272–271):426–45.

    Google Scholar 

  40. Jetter G. Ueber die traumatischen epiphysen-losungen am oberen Ende des humerus. Beitr Klin Chir. 1872;9:361–84.

    Google Scholar 

  41. Bergenfeldt E. Beitrage zur kenntnis der traumatischen epiphusenlosungen an den langen rohrenknochen der extremitaten. Acta Chirurgica Scandinavica. 1933;73(supp 28):1–422.

    Google Scholar 

  42. Aitken AP. The end results of the fractured distal radial epiphysis. J Bone Joint Surg. 1935;17:302–8.

    Google Scholar 

  43. Aitken AP. Further observation on the fractured distal radial epiphysis. J Bone Joint Surg. 1935;17:922.

    Google Scholar 

  44. Aitken AP. End results of fractures of the proximal humeral epiphysis. J Bone Joint Surg. 1936;18:1036–41.

    Google Scholar 

  45. Aitken AP, Magill HK. Fractures involving the distal femoral epiphyseal cartilage. J Bone Joint Surg Am. 1952;34-A(1):96–108.

    PubMed  CAS  Google Scholar 

  46. Aitken AP. Fractures of the proximal tibial epiphysial cartilage. Clin Orthop Relat Res. 1965;41:92–7.

    PubMed  CAS  Google Scholar 

  47. Aitken AP. The end results of the fractured distal tibial epiphysis. J Bone Joint Surg. 1936;18:685–91.

    Google Scholar 

  48. Burman MS, Langsam MJ. Posterior dislocation of lower femoral epiphysis in breech delivery. Arch Surg. 1939;38:250–60.

    Article  Google Scholar 

  49. Barrett WP, Almquist EA, Staheli LT. Fracture separation of the distal humeral physis in the newborn. J Pediatr Orthop. 1984;4(5):617–9.

    Article  PubMed  CAS  Google Scholar 

  50. Ehalt W. Knochenbruche bei kindren und erwachsensen. Arch Klin Chir. 1958;289:391–4.

    PubMed  CAS  Google Scholar 

  51. Rehbein F, Hofmann S. Knochenverletzungen im kindesalter. Arch Klin Chir. 1963;304:539–62.

    PubMed  CAS  Google Scholar 

  52. Salter RB, Harris WR. Injuries involving the epiphyseal plate. J Bone Joint Surg. 1963;45A:587–622.

    Google Scholar 

  53. Skak SV, Olsen SD, Smaabrekke A. Deformity after fracture of the lateral humeral condyle in children. J Pediatr Orthop B. 2001;10(2):142–52.

    PubMed  CAS  Google Scholar 

  54. Rang M. The growth plate and its disorders. Edinburgh: ES Livingstone; 1969.

    Google Scholar 

  55. Rang M. Children’s fractures. 2nd ed. Philadelphia: JB Lippincott; 1983.

    Google Scholar 

  56. Mizuta T, Benson WM, Foster BK, Paterson DC, Morris LL. Statistical analysis of the incidence of physeal injuries. J Pediatr Orthop. 1987;7(5):518–23.

    Article  PubMed  CAS  Google Scholar 

  57. Peterson CA, Peterson HA. Analysis of the incidence of injuries to the epiphyseal growth plate. J Trauma. 1972;12(4):275–81.

    Article  PubMed  CAS  Google Scholar 

  58. Peterson HA, Burkhart SS. Compression injury of the epiphyseal growth plate: fact or fiction? J Pediatr Orthop. 1981;1(4):377–84.

    Article  PubMed  CAS  Google Scholar 

  59. Keret D, Mendez AA, Harcke HT, MacEwen GD. Type V physeal injury: a case report. J Pediatr Orthop. 1990;10(4):545–8.

    Article  PubMed  CAS  Google Scholar 

  60. Steinert V. Epiphysenlosung and epiphysenfrakturen. Archiv f orthop Unfall-Chir. 1965;58:200–20.

    Article  CAS  Google Scholar 

  61. Weber BG. Fracture healing in the growing bone and in the mature skeleton. In: Weber B, Brunner C, Freuler F, editors. Treatment of fractures in children and adolescents. Berlin: Springer; 1980. p. 36–57.

    Chapter  Google Scholar 

  62. Morscher E. Classification of epiphyseal injuries. In: Chapchal G, editor. Fractures in children. New York: Thieme-Stratton; 1981.

    Google Scholar 

  63. Ogden JA. Injury to the growth mechanisms of the immature skeleton. Skeletal Radiol. 1981;6(4):237–53.

    Article  PubMed  CAS  Google Scholar 

  64. Ogden JA. Skeletal growth mechanism injury patterns. J Pediatr Orthop. 1982;2(4):371–7.

    Article  PubMed  CAS  Google Scholar 

  65. Peterson HA. Physeal fractures: part 2. Two previously unclassified types. J Pediatr Orthop. 1994;14(4):431–8.

    Article  PubMed  CAS  Google Scholar 

  66. Peterson HA. Physeal fractures: part 3. Classification. J Pediatr Orthop. 1994;14(4):439–48.

    Article  PubMed  CAS  Google Scholar 

  67. Broca A. Le mechanism des decollements epiphysaires. Assoc Fr Chir. 1904;17:626–34.

    Google Scholar 

  68. Broca A. Mecanisme des decollemnets epiphysaires. Presse Medicale. 1905;13:140–1.

    Google Scholar 

  69. Bousseau M. Disjonction epiphysaire traumatique de la tete du femur et des epines iliaques anterieures. Mort. Autopsie. Bull Soc Anat Paris. 1867;12:283–6.

    Google Scholar 

  70. Carothers CO, Crenshaw AH. Clinical significance of a classification of epiphyseal injuries at the ankle. Am J Surg. 1955;89(4):879–87.

    Article  PubMed  CAS  Google Scholar 

  71. Shapiro F. Epiphyseal growth plate fracture-separations: a pathophysiologic approach. Orthopedics. 1982;5:720–36.

    PubMed  CAS  Google Scholar 

  72. Shapiro F, Rand F. Traumatic fracture-separations of the epiphyses: a pathophysiologic approach. Adv Orthop Surg. 1992;15:175–203.

    Google Scholar 

  73. Bensahel H, Csukonyi Z, Badelon O, Badaoui S. Fractures of the medial condyle of the humerus in children. J Pediatr Orthop. Jul-Aug. 1986;6(4):430–3.

    Article  CAS  Google Scholar 

  74. Dale GG, Harris WR. Prognosis of epiphysial separation: an experimental study. J Bone Joint Surg Br. 1958;40-B(1):116–22.

    PubMed  CAS  Google Scholar 

  75. Trueta J, Morgan JD. The vascular contribution to osteogenesis. I. Studies by the injection method. J Bone Joint Surg Br. 1960;42-B:97–109.

    PubMed  CAS  Google Scholar 

  76. Burkus JK, Ogden JA. Development of the distal femoral epiphysis: a microscopic morphological investigation of the zone of Ranvier. J Pediatr Orthop. 1984;4(6):661–8.

    Article  PubMed  CAS  Google Scholar 

  77. Shapiro F, Holtrop ME, Glimcher MJ. Organization and cellular biology of the perichondrial ossification groove of Ranvier: a morphological study in rabbits. J Bone Joint Surg Am. 1977;59-A(6):703–23.

    Google Scholar 

  78. Speer DP. Collagenous architecture of the growth plate and perichondrial ossification groove. J Bone Joint Surg Am. 1982;64-A(3):399–407.

    Google Scholar 

  79. Trueta J, Amato VP. The vascular contribution to osteogenesis. III. Changes in the growth cartilage caused by experimentally induced ischaemia. J Bone Joint Surg Br. 1960;42-B:571–87.

    PubMed  CAS  Google Scholar 

  80. Gomes LSM, Volpon JB, Goncalves RP. Traumatic separation of epiphyses: an experimental study in rats. Clin Orthop Rel Res. 1988;236:286–95.

    Google Scholar 

  81. Haas SL. The relationship of the blood supply to the longitudinal growth of the bone. Am J Orthop Surg. 1917;15:157–71.

    Google Scholar 

  82. Haas SL. The relationship of the blood supply to the longitudinal growth of the bone. Am J Orthop Surg. 1917;15:305–16.

    Google Scholar 

  83. Haas SL. The localization of the growing point in the epiphyseal cartilage plate of bones. Am J Orthop Surg. 1917;15:563–86.

    Google Scholar 

  84. Haas SL. The changes produced in the growing bone after injury to the epiphyseal cartilage plate. J Orthop Surg. 1919;1:67–99, 166–179, 226–239.

    Google Scholar 

  85. Jahn P. Beitrage zur kenntriss der histologischen vorgange bei der wachstums behinderung der rohrenknochen durch verletzungen des intermediarknorpel. Morph Arb von Scwhalbe. 1892;1:241.

    Google Scholar 

  86. Lesser E. Ueber histologische vorgange an de ossificationsgrenze mit besonderer berucksichtigung des verhaltens der knorpelzellen. Arch Mikrosksp Anat. 1888;32:214–22.

    Google Scholar 

  87. Brashear HJ. Epiphyseal fractures. A microscopic study of the healing process in rats. J Bone Joint Surg. 1959;41-A:1055–64.

    Google Scholar 

  88. Bright RW, Burstein AH, Elmore SM. Epiphyseal-plate cartilage. A biomechanical and histological analysis of failure modes. J Bone Joint Surg Am. 1974;56-A(4):688–703.

    Google Scholar 

  89. Peltonen J, Aalto K, Karaharju E, Alitalo I, Gronblad M. Experimental epiphyseal separation by torsional force. J Pediatr Orthop. 1984;4(5):546–9.

    Article  PubMed  CAS  Google Scholar 

  90. Morscher E, Desaulles PA, Schenk R. Experimental studies on tensile strength and morphology of the epiphyseal cartilage at puberty. Ann Paediatr. 1965;205(2):112–30.

    PubMed  CAS  Google Scholar 

  91. Moen CT, Pelker RR. Biomechanical and histological correlations in growth plate failure. J Pediatr Orthop. 1984;4(2):180–4.

    Article  PubMed  CAS  Google Scholar 

  92. Lee KE, Pelker RR, Rudicel SA, Ogden JA, Panjabi MM. Histologic patterns of capital femoral growth plate fracture in the rabbit: the effect of shear direction. J Pediatr Orthop. 1985;5(1):32–9.

    Article  PubMed  CAS  Google Scholar 

  93. Rudicel S, Pelker RR, Lee KE, Ogden JA, Panjabi MM. Shear fractures through the capital femoral physis of the skeletally immature rabbit. J Pediatr Orthop. 1985;5(1):27–31.

    Article  PubMed  CAS  Google Scholar 

  94. Wattenbarger JM, Gruber HE, Phieffer LS. Physeal fractures, part I: histologic features of bone, cartilage, and bar formation in a small animal model. J. Pediatr. Orthop. 2002;22(6):703–9.

    PubMed  Google Scholar 

  95. Smith DG, Geist RW, Cooperman DR. Microscopic examination of a naturally occurring epiphyseal plate fracture. J Pediatr Orthop. 1985;5(3):306–8.

    Article  PubMed  CAS  Google Scholar 

  96. Chung SM, Batterman SC, Brighton CT. Shear strength of the human femoral capital epiphyseal plate. J Bone Joint Surg Am. 1976;58-A(1):94–103.

    Google Scholar 

  97. Phieffer LS, Meyer RA Jr, Gruber HE, Easley M, Wattenbarger JM. Effect of interposed periosteum in an animal physeal fracture model. Clin Orthop Relat Res. 2000;376:15–25.

    Article  PubMed  Google Scholar 

  98. Gruber HE, Phieffer LS, Wattenbarger JM. Physeal fractures, part II: fate of interposed periosteum in a physeal fracture. J Pediatr Orthop. 2002;22(6):710–6.

    PubMed  Google Scholar 

  99. Ford LT, Key JA. A study of experimental trauma to the distal femoral epiphysis in rabbits. J Bone Joint Surg Am. 1956;38-A(1):84–92.

    PubMed  CAS  Google Scholar 

  100. Friedenberg ZB. Reaction of the epiphysis to partial surgical resection. J Bone Joint Surg Am. 1957;39-A(2):332–40.

    PubMed  CAS  Google Scholar 

  101. Duben W. Epiphysendurchnagelungen. Z Orthop. 1955;87:108–18.

    PubMed  CAS  Google Scholar 

  102. Gelbke H, Ebert G. Tierexperimentelle studie an der verletzten epiphysenfuge. Z Orthop. 1953;83:201–19.

    PubMed  CAS  Google Scholar 

  103. Campbell CJ, Grisolia A, Zanconato G. The effects produced in the cartilaginous epiphyseal plate of immature dogs by experimental surgical traumata. J Bone Joint Surg Am. 1959;41-A:1221–40.

    PubMed  CAS  Google Scholar 

  104. Ogden JA, Ganey T, Light TR, Southwick WO. The pathology of acute chondro-osseous injury in the child. Yale J Biol Med. 1993;66(3):219–33.

    PubMed Central  PubMed  CAS  Google Scholar 

  105. Ogden JA. Management of Growth Mechanism Injuries and Arrest. Skeletal Injury in the Child. 3 ed. New York: Springer; 2000:150. p. 209–242.

    Google Scholar 

  106. Ogden JA, McCarthy SM. Radiology of postnatal skeletal development. VIII. Distal tibia and fibula. Skeletal Radiol. 1983;10(4):209–20.

    Article  PubMed  CAS  Google Scholar 

  107. Kennedy JP, Weiner DS. Avascular necrosis complicating fracture of the distal tibial epiphysis. J Pediatr Orthop. 1991;11(2):234–7.

    Article  PubMed  CAS  Google Scholar 

  108. Curtis R. Operative management of children’s fractures of the shoulder region. Orthop Clin N Am. 1990;21:315–24.

    Google Scholar 

  109. Lesko PD, Georgis T, Slabaugh P. Irreducible Salter–Harris Type II fracture of the Distal Radial Epiphysis. J Pediatr Orthop. 1987;7:719–21.

    Article  PubMed  CAS  Google Scholar 

  110. Kritsaneepaiboon S, Shah R, Murray MM, Kleinman PK. Posterior periosteal disruption in Salter–Harris type II fractures of the distal femur: evidence for a hyperextension mechanism. AJR Am J Roentgenol. 2009;193:W540–5.

    Article  PubMed  Google Scholar 

  111. Thompson GH, Gesler JW. Proximal tibial epiphyseal fracture in an infant. J Pediatr Orthop. 1984;4:114–7.

    Article  PubMed  CAS  Google Scholar 

  112. Ciszewski WA, Buschmann WR, Rudolph CN. Irreducible fracture of the proximal tibial physis in an adolescent. Orthop Rev. 1989;18(8):891–3.

    PubMed  CAS  Google Scholar 

  113. Grace DL. Irreducible fracture-separations of the distal tibial epiphysis. J Bone Joint Surg. 1983;65-B(2):160–2.

    Google Scholar 

  114. Murakami S, Yamamoto H, Furuya K, Tomimatsu T. Irreducible Salter–Harris type II fracture of the distal tibial epiphysis. J Orthop Trauma. 1994;8(6):524–6.

    Article  PubMed  CAS  Google Scholar 

  115. Edwards PH Jr, Grana WA. Physeal fractures about the knee. J Am Acad Orthop Surg. 1995;3(2):63–70.

    PubMed  Google Scholar 

  116. Whan A, Breidahl W, Janes G. MRI of trapped periosteum in a proximal tibial physeal injury of a pediatric patient. AJR Am J Roentgenol. 2003;181(5):1397–9.

    Article  PubMed  Google Scholar 

  117. Ogden JA. The evaluation and treatment of partial physeal arrest. J Bone Joint Surg Am. 1987;69-A(8):1297–302.

    Google Scholar 

  118. Jaramillo D, Shapiro F, Hoffer FA, et al. Posttraumatic growth-plates abornomalities: MR imaging of bony-bridge formation in rabbits. Radiology. 1990;175:767–73.

    Article  PubMed  CAS  Google Scholar 

  119. Jaramillo D, Kammen BF, Shapiro F. Cartilagenous path of physeal fracture-separations: Evaluation with MR imaging–an experimental study with histologic correlation in rabbits. Radiology. 2000;215:504–511.

    Google Scholar 

  120. Jaramillo D, Hoffer FA, Shapiro F, Rand F. MR imaging of fractures of the growth plate. AJR Am J Roentgenol. 1990;155(6):1261–5.

    Article  PubMed  CAS  Google Scholar 

  121. Smith BG, Rand F, Jaramillo D, Shapiro F. Early MR imaging of lower-extremity physeal fracture-separations: a preliminary report. J Pediatr Orthop. 1994;14(4):526–33.

    Article  PubMed  CAS  Google Scholar 

  122. Ecklund K, Jaramillo D. Patterns of premature physeal arrest: MR imaging of 111 children. AJR Am J Roentgenol. 2002;178(4):967–72.

    Article  PubMed  Google Scholar 

  123. Futami T, Foster BK, Morris LL, LeQuesne GW. Magnetic resonance imaging of growth plate injuries: the efficacy and indications for surgical procedures. Arch Orthop Trauma Surg. 2000;120(7–8):390–6.

    Article  PubMed  CAS  Google Scholar 

  124. Guffer H, Schulze CG, Wagner S, Baumbach L. MRI for occult physeal fracture detection in children and adolescents. Acta Radiol. 2013;54:467–72.

    Article  Google Scholar 

  125. Carlson WO, Wenger DR. A mapping method to prepare for surgical excision of a partial physeal arrest. J Pediatr Orthop. 1984;4(2):232–8.

    Article  PubMed  CAS  Google Scholar 

  126. DeCampo JF, Boldt DW. Computed tomography of partial growth plate arrest: initial experience. Skeletal Radiol. 1986;15:526–9.

    Article  CAS  Google Scholar 

  127. Feldman F, Singson RD, Rosenberg ZS, Berdon WE, Amodio J, Abramson SJ. Distal tibial triplane fractures: diagnosis with CT. Radiology. 1987;164(2):429–36.

    Article  PubMed  CAS  Google Scholar 

  128. Porat S, Nyska M, Nyska A, Fields S. Assessment of bony bridge by computed tomography: experimental model in the rabbit and clinical application. J Pediatr Orthop. 1987;7(2):155–60.

    Article  PubMed  CAS  Google Scholar 

  129. Von Laer L. Classification, diagnosis, and treatment of transitional fractures of the distal part of the tibia. J Bone Joint Surg Am. 1985;67-A(5):687–98.

    Google Scholar 

  130. Young JW, Bright RW, Whitley NO. Computed tomography in the evaluation of partial growth plate arrest in children. Skeletal Radiol. 1986;15(7):530–5.

    Article  PubMed  CAS  Google Scholar 

  131. Broker FH, Burbach T. Ultrasonic diagnosis of separation of the proximal humeral epiphysis in the newborn. J Bone Joint Surg Am. 1990;72-A(2):187–91.

    Google Scholar 

  132. Dias JJ, Lamont AC, Jones JM. Ultrasonic diagnosis of neonatal separation of the distal humeral epiphysis. J Bone Joint Surg Br. 1988;70-B(5):825–8.

    Google Scholar 

  133. Harcke HT, Zapf S, Mandell G, Sharkey C, Colley L. Angular deformity of the lower extremity: evaluation with quantitative bone scintigraphy. Radiology. 164:437–440.

    Google Scholar 

  134. Compere EL. Growth arrest in long bones as result of fractures include the epiphysis. J Am Med Assoc. 1935;105:2140–6.

    Article  Google Scholar 

  135. Hanlon CR, Estes WL Jr. Fractures in childhood, a statistical analysis. Am J Surg. 1954;87(3):312–23.

    Article  PubMed  CAS  Google Scholar 

  136. Mann DC, Rajmaira S. Distribution of physeal and nonphyseal fractures in 2,650 long-bone fractures in children aged 0–16 years. J Pediatr Orthop. 1990;10(6):713–6.

    Article  PubMed  CAS  Google Scholar 

  137. Sakakida K. Clinical observations on the epiphysial separation of long bones. Clin Orthop Relat Res. 1964;34:119–41.

    PubMed  CAS  Google Scholar 

  138. Worlock P, Stower M. Fracture patterns in Nottingham children. J Pediatr Orthop. 1986;6(6):656–60.

    Article  PubMed  CAS  Google Scholar 

  139. Hastings H 2nd, Simmons BP. Hand fractures in children. A statistical analysis. Clin Orthop Relat Res. 1984;188:120–30.

    PubMed  Google Scholar 

  140. Lichtenberg RP. A study of 2,532 fractures in children. Am J Surg. 1954;87(3):330–8.

    Article  PubMed  CAS  Google Scholar 

  141. Kawamoto K, Kim WC, Tsuchida Y, et al. Incidence of physeal injuries in Japanese children. J Pediatr Orthop B. 2006;15(2):126–30.

    Article  PubMed  Google Scholar 

  142. Peterson HA, Madhok R, Benson JT, Ilstrup DM, Melton LJ 3rd. Physeal fractures: Part 1. Epidemiology in Olmsted County, Minnesota, 1979–1988. J Pediatr Orthop. 1994;14(4):423–30.

    Article  PubMed  CAS  Google Scholar 

  143. Ehlers PN, Eberlein H. Epiphysenfrakturen. Klinischer beitrag zur frage der spatfolgen. Arch Klin Chir. 1964;305:213–230.

    Google Scholar 

  144. Truesdell ED. Further observations upon birth-dislocations of the cartilaginous epiphysis. Bull Lying-In Hosp City NY. 1918;11:245–57.

    Google Scholar 

  145. Ekengren K, Bergdahl S, Ekstrom G. Birth injuries to the epiphyseal cartilage. Acta Radiol Diagn (Stockh). 1978;19(1B):197–204.

    PubMed  CAS  Google Scholar 

  146. Lemperg R, Liliequist B. Dislocation of the proximal epiphysis of the humerus in newborns. Acta Paediatr Scand. 1970;59(4):377–80.

    Article  PubMed  CAS  Google Scholar 

  147. Baxter MP, Wiley JJ. Fractures of the proximal humeral epiphysis. Their influence on humeral growth. J Bone Joint Surg Br. 1986;68(4):570–3.

    PubMed  CAS  Google Scholar 

  148. Burgos-Flores J, Gonzalez-Herranz P, Lopez-Mondejar JA, Ocete-Guzman JG, Amaya-Alarcon S. Fractures of the proximal humeral epiphysis. Int Orthop. 1993;17(1):16–9.

    Article  PubMed  CAS  Google Scholar 

  149. Dameron TB Jr, Reibel DB. Fractures involving the proximal humeral epiphyseal plate. J Bone Joint Surg Am. 1969;51-A(2):289–97.

    Google Scholar 

  150. Kohler R, Trillaud JM. Fracture and fracture separation of the proximal humerus in children: report of 136 cases. J Pediatr Orthop. 1983;3(3):326–32.

    Article  PubMed  CAS  Google Scholar 

  151. Neer CS 2nd, Horwitz BS. Fractures of the proximal humeral epiphysial plate. Clin Orthop Relat Res. 1965;41:24–31.

    PubMed  Google Scholar 

  152. Cohen B, Froimson AI. Salter III fracture-dislocation of the glenohumeral joint in a 10 year old. Orthop Rev. 1986;15:403–4.

    Google Scholar 

  153. Teslaa R, Nollen A. A Salter type III fracture of the proximal epophysis of the humerus. Injury. 1987;18:429–31.

    Article  CAS  Google Scholar 

  154. Wang P Jr, Koval KJ, Lehman W, Strongwater A, Grant A, Zuckerman JD. Salter–Harris type III fracture-dislocation of the proximal humerus. J Pediatr Orthop B. 1997;6(3):219–22.

    Article  PubMed  Google Scholar 

  155. Beringer DC, Weiner DS, Noble JS, Bell RH. Severely displaced proximal humeral epiphyseal fractures: a follow-up study. J Pediatr Orthop. 1998;18(1):31–7.

    PubMed  CAS  Google Scholar 

  156. Dobbs MB, Luhmann SL, Gordon JE, Strecker WB, Schoenecker PL. Severely displaced proximal humeral epiphyseal fractures. J Pediatr Orthop. Mar-Apr. 2003;23(2):208–15.

    Google Scholar 

  157. Binder H, Schurz M, Aldrian S, Fialka C, Vecsei V. Physeal injuries of the proximal humerus: long-term results in seventy two patients. Int Orthop. 2011;35(10):1497–502.

    Article  PubMed Central  PubMed  Google Scholar 

  158. Schwendenwein E, Hajdu S, Gaebler C, Stengg K, Vecsei V. Displaced fractures of the proximal humerus in children require open/closed reduction and internal fixation. Eur J Pediatr Surg. 2004;14(1):51–5.

    Article  PubMed  CAS  Google Scholar 

  159. Sankar B, Nicholson S, Henman PD. Centromedullary manipulation and stabilization of completely displaced proximal humerus fractures in adolescents. Orthopedics. 2012;35(10):856–60.

    Article  PubMed  Google Scholar 

  160. Jakob R, Fowles JV, Rang M, Kassab MT. Observations concerning fractures of the lateral humeral condyle in children. J Bone Joint Surg Br. 1975;57-B(4):430–6.

    Google Scholar 

  161. Mouchet A. Fractures du condyle externe. In: Steinheil G, editor. Fractures de l’Extremite Inferieure de l’humerus. Chapter 1, p. 21–119.

    Google Scholar 

  162. Stimson LA. A practical treatise on fractures and dislocations. 5th ed. New York and Philadephia: Lea Bros. and Co; 1907. p. 253–256.

    Google Scholar 

  163. Badelon O, Bensahel H, Mazda K, Vie P. Lateral humeral condylar fractures in children: a report of 47 cases. J Pediatr Orthop. 1988;8(1):31–4.

    Article  PubMed  CAS  Google Scholar 

  164. Conner AN, Smith MG. Displaced fractures of the lateral humeral condyle in children. J Bone Joint Surg Br. 1970;52-B(3):460–4.

    Google Scholar 

  165. Crabbe WA. The treatment of fracture-separation of the capitular epiphysis. J Bone Joint Surg Br. 1963;45-B:722–6.

    Google Scholar 

  166. Foster DE, Sullivan JA, Gross RH. Lateral humeral condylar fractures in children. J Pediatr Orthop. 1985;5(1):16–22.

    Article  PubMed  CAS  Google Scholar 

  167. Hardacre JA, Nahigian SH, Froimson AI, Brown JE. Fractures of the lateral condyle of the humerus in children. J Bone Joint Surg Am. 1971;53-A(6):1083–95.

    Google Scholar 

  168. Thompson GH, Wilber JH, Marcus RE. Internal fixation of fractures in children and adolescents. A comparative analysis. Clin Orthop Relat Res. 1984;188:10–20.

    PubMed  Google Scholar 

  169. Eliason EL, Ferguson LK. Epiphyseal separation of the long bones. Surg Gyn Obstet. 1934;58:85–99.

    Google Scholar 

  170. Ireland J. Late results of separation of an epiphysis. Ann Surg. 1933;97:189–203.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  171. Vocke-Hell AK, Schmid A. Sonographic differentiation of stable and unstable lateral condyle fractures of the humerus in children. J Pediatr Orthop B. 2001;10(2):138–41.

    PubMed  CAS  Google Scholar 

  172. Flynn JC. Nonunion of slightly displaced fractures of the lateral humeral condyle in children: an update. J Pediatr Orthop. 1989;9(6):691–6.

    Article  PubMed  CAS  Google Scholar 

  173. Abram LJ, Thompson GH. Deformity after premature closure of the distal radial physis following a torus fracture with a physeal compression injury. Report of a case. J Bone Joint Surg Am. 1987;69-A(9):1450–3.

    Google Scholar 

  174. Albanese SA, Palmer AK, Kerr DR, Carpenter CW, Lisi D, Levinsohn EM. Wrist pain and distal growth plate closure of the radius in gymnasts. J Pediatr Orthop. 1989;9(1):23–8.

    Article  PubMed  CAS  Google Scholar 

  175. Koh KH, Seo SW, Kim KM, Shim JS. Clinical and radiographic results of lateral condylar fracture of distal humerus in children. J Pediatr Orthop. 2010;30(5):425–9.

    Article  PubMed  Google Scholar 

  176. Milch MD. Fractures of the external humeral condyle. J Am Med Assoc. 1956;160:641–6.

    Article  PubMed  CAS  Google Scholar 

  177. Song KS, Kang CH, Min BW, Bae KC, Cho CH, Lee JH. Closed reduction and internal fixation of displaced unstable lateral condylar fractures of the humerus in children. J Bone Joint Surg Am. 2008;90(12):2673–81.

    Article  PubMed  Google Scholar 

  178. Rutherford A. Fractures of the lateral humeral condyle in children. J Bone Joint Surg Am. 1985;67A(6):851–6.

    Google Scholar 

  179. Wadsworth TG. Injuries of the capitular (lateral humeral condylar) epiphysis. Clin Orthop Relat Res. 1972;85:127–42.

    Article  PubMed  CAS  Google Scholar 

  180. Blount WP. Fractures in Children. Baltimore: Williams and Wilkins; 1955.

    Google Scholar 

  181. Cates RA, Mehlman CT. Growth arrest of the capitellar physis after displaced lateral condyle fractures in children. J Pediatr Orthop. 2012;32(8):e57–62.

    Article  PubMed  Google Scholar 

  182. Hasler C-C, von Laer L. Prevention of growth disturbances after fractures of the lateral humeral condyle in children. J Pediatr Orthop. 2001;10:123–30.

    CAS  Google Scholar 

  183. Launay F, Leet AI, Jacopin S, Jouve JL, Bollini G, Sponseller PD. Lateral humeral condyle fractures in children: a comparison of two approaches to treatment. J Pediatr Orthop. 2004;24(4):385–91.

    Article  PubMed  Google Scholar 

  184. Weiss JM, Graves S, Yang S, Mendelsohn E, Kay RM, Skaggs DL. A new classification system predictive of complications in surgically treated pediatric humeral lateral condyle fractures. J Pediatr Orthop. 2009;29(6):602–5.

    Article  PubMed  Google Scholar 

  185. DeJager LT, Hoffman EB. Fracture-separation of the distal humeral epiphysis. J Bone Joint Surg. 1991;73B:143–6.

    Google Scholar 

  186. DeLee JC, Wilkins KE, Rogers LF, Rockwood CA. Fracture-separation of the distal humeral epiphysis. J Bone Joint Surg Am. 1980;62-A(1):46–51.

    Google Scholar 

  187. Downs DM, Wirth CR. Fracture of the distal humeral chondroepiphysis in the neonate. A case report. Clin Orthop Relat Res. 1982;169:155–8.

    PubMed  Google Scholar 

  188. Holda ME, Manoli A 2nd, LaMont RI. Epiphyseal separation of the distal end of the humerus with medial displacement. J Bone Joint Surg Am. 1980;62-A(1):52–7.

    Google Scholar 

  189. Mizuno K, Hirohata K, Kashiwagi D. Fracture-separation of the distal humeral epiphysis in young children. J Bone Joint Surg Am. 1979;61-A(4):570–3.

    Google Scholar 

  190. Siffert RS. Displacement of the distal humeral epiphysis in the newborn infant. J Bone Joint Surg. 1963;45A:165–9.

    Google Scholar 

  191. Farabeuf M. Sur l’epiphyse inferieure de l’humerus et son decollement traumatique. Bulletin Mem Soc Chir (Paris). 1886;12:692–8.

    Google Scholar 

  192. Abe M, Ishizu T, Nagaoka T, Onomura T. Epiphyseal separation of the distal end of the humeral epiphysis: a follow-up note. J Pediatr Orthop. 1995;15(4):426–34.

    Article  PubMed  CAS  Google Scholar 

  193. Jacobsen S, Hansson G, Nathorst-Westfelt J. Traumatic separation of the distal epiphysis of the humerus sustained at birth. J Bone Joint Surg Br. 2009;91-B(6):797–802.

    Article  Google Scholar 

  194. Leet AI, Young C, Hoffer MM. Medial condyle fractures of the humerus in children. J Pediatr Orthop. 2002;22(1):2–7.

    PubMed  Google Scholar 

  195. DeBoeck H, Castelyn PP, Opdecam P. Fracture of the medial humeral condyle. J Bone Joint Surg. 1987;69-A:1442–4.

    Google Scholar 

  196. Peterson HA. Triplane fracture of the distal humeral epiphysis. J Pediatr Orthop. 1983;3(1):81–4.

    Article  PubMed  CAS  Google Scholar 

  197. Peterson HA. Elbow trauma. Physeal injuries of the distal humerus. Orthopedics. 1992;15:799–808.

    PubMed  CAS  Google Scholar 

  198. Louahem DM, Bourelle S, Buscaryet F, et al. Displaced medial epicondyle fractures of the humerus: surgical treatment and results. A report of 139 cases. Arch Orthop Traum Surg. 2010;130:649–655.

    Google Scholar 

  199. Kamath AF, Baldwin K, Horneff J, Hosalker HS. Operative versus non-operative management of pediatric medial epicondyle fractures: a systematic review. J Child Orthop. 2009;3:345–57.

    Article  PubMed Central  PubMed  Google Scholar 

  200. Kamath AF, Cody SR, Hosalkar HS. Open reduction of medial epicondyle fractures: operative tips for technical ease. J Child Orthop. 2009;3(4):331–6.

    Article  PubMed Central  PubMed  Google Scholar 

  201. Jones E, Esah M. Displaced fractures of the neck of the radius in children. J Bone Joint Surg. 1971;35B:429–39.

    Google Scholar 

  202. Newman JH. Displaced radial neck fractures in children. Injury. 1977;9(2):114–21.

    Article  PubMed  CAS  Google Scholar 

  203. Tibone JE, Stoltz M. Fractures of the radial head and neck in children. J Bone Joint Surg Am. 1981;63A(1):100–6.

    Google Scholar 

  204. D’Souza S, Vaishya R, Klenerman L. Management of radial neck fractures in children: a retrospective analysis of one hundred patients. J Pediatr Orthop. 1993;13(2):232–8.

    PubMed  Google Scholar 

  205. Fowles JV, Kassab MT. Observations concerning radial neck fractures in children. J Pediatr Orthop. 1986;6(1):51–7.

    Article  PubMed  CAS  Google Scholar 

  206. Jeffrey C. Fractures of the head of the radius in children. J Bone Joint Surg. 1950;32B:314–24.

    Google Scholar 

  207. McBride E, Monnet J. Epiphysial fractures of the head of the radius in children. Clin Orthop Rel Res. 1960;16:264–71.

    Google Scholar 

  208. O’Brien PI. Injuries involving the proximal radial epiphysis. Clin Orthop Relat Res. 1965;41:51–8.

    PubMed  Google Scholar 

  209. Reidy JA, Vangorder GW. Treatment of Displacement of the Proximal Radial Epiphysis. J Bone Joint Surg Am. 1963;45-A:1355–72.

    Google Scholar 

  210. Steinberg EL, Golomb D, Salama R, Wientroub S. Radial head and neck fractures in children. J Pediatr Orthop. 1988;8(1):35–40.

    Article  PubMed  CAS  Google Scholar 

  211. Futami T, Tsukamoto Y, Itoman M. Percutaneous reduction of displaced radial neck fractures. J Shoulder Elbow Surg. 1995;4(3):162–7.

    Article  PubMed  CAS  Google Scholar 

  212. Ruf J, Craig CL, Kuhns L, Hall J, Farley FA. Radiographic assessment of pediatric proximal radius fractures: interrater and intrarater reliability. J Pediatr Orthop. 2005;25(5):588–91.

    Article  PubMed  Google Scholar 

  213. Steele JA, Graham HK. Angulated radial neck fractures in children. A prospective study of percutaneous reduction. J Bone Joint Surg Br. 1992;74-B(5):760–4.

    Google Scholar 

  214. Metaizeau JP, Lascombes P, Lemelle JL, Finlayson D, Prevot J. Reduction and fixation of displaced radial neck fractures by closed intramedullary pinning. J Pediatr Orthop. 1993;13(3):355–60.

    Article  PubMed  CAS  Google Scholar 

  215. Klitscher D, Richter S, Bodenschatz K, et al. Evaluation of severely displaced radial neck fractures in children treated with elastic stable intramedullary nailing. J Pediatr Orthop. 2009;29(7):698–703.

    Article  PubMed  Google Scholar 

  216. Judet J, Judet R, Lefranc J. Fracture du col radial chez l’enfant. Ann Chir. 1962;16:1377–85.

    PubMed  CAS  Google Scholar 

  217. Malmvik J, Herbertsson P, Josefsson PO, Hasserius R, Besjakov J, Karlsson MK. Fracture of the radial head and neck of Mason types II and III during growth: a 14–25 year follow-up. J Pediatr Orthop B. 2003;12(1):63–8.

    PubMed  Google Scholar 

  218. Ugutmen E, Ozkan K, Ozkan FU, Eceviz E, Altintas F, Unay K. Reduction and fixation of radius neck fractures in children with intramedullary pin. J Pediatr Orthop B. 19(4):289–293.

    Google Scholar 

  219. Schmittenbecher PP, Haevernick B, Herold A, Knorr P, Schmid E. Treatment decision, method of osteosynthesis, and outcome in radial neck fractures in children: a multicenter study. J Pediatr Orthop. 2005;25(1):45–50.

    PubMed  Google Scholar 

  220. Endele SM, Wirth T, Eberhardt O, Fernandez FF. The treatment of radial neck fractures in children according to Metaizeau. J Pediatr Orthop B. 2010;19:246–55.

    Article  Google Scholar 

  221. Stiefel D, Meuli M, Altermatt S. Fractures of the neck of the radius in children. Early experience with intramedullary pinning. J Bone Joint Surg Br. 2001;83-B(4):536–41.

    Article  Google Scholar 

  222. Prathapkumar KR, Garg NK, Bruce CE. Elastic stable intramedullary nail fixation for severely displaced fractures of the neck of the radius in children. J Bone Joint Surg Br. 2006;88-B(3):358–61.

    Article  Google Scholar 

  223. Bragdon RA. Fractures of the distal radial epiphysis. Clin Orthop Relat Res. 1965;41:501–4.

    Google Scholar 

  224. Funsten RV. Epiphyseal separation at the lower end of the radius. South Med J. 1948;41(6):501–4.

    Article  PubMed  CAS  Google Scholar 

  225. Lee BS, Esterhai JL Jr, Das M. Fracture of the distal radial epiphysis. Characteristics and surgical treatment of premature, post-traumatic epiphyseal closure. Clin Orthop Relat Res. 1984;185:90–6.

    PubMed  Google Scholar 

  226. Mischkowsky T, Daum R, Ruf W. Injuries of the distal radial epiphyses. Arch Orthop Traum Surg. 1980;96:15–6.

    Article  CAS  Google Scholar 

  227. Holland CT. A radiographical note on injuries to the distal epiphyses of the radius and ulna. Pro Roy Soc med. 1929;22:695–700.

    CAS  Google Scholar 

  228. Werenskiold B. A contribution to the Rontgen diagnosis of epiphyseal separations. Acta Radiol. 1927;8:419–96.

    Article  Google Scholar 

  229. Lodes R. Handdeformitat nach infizierter traumatischer epiphysenlosung am distalen radiusende mit ulnadiaphysenbruch. Arch Orthop Unfallchir. 1949;44:38–72.

    Article  Google Scholar 

  230. Stutz C, Mencio GA. Fractures of the distal radius and ulna: metaphyseal and physeal injuries. J Pediatr Orthop. 2010;30:S85–9.

    Article  Google Scholar 

  231. Garcia-Mata S, Hidalgo-Ovejero A. Triplane fracture of the distal radius. J Pediatr Orthop B. 2006;15(4):298–301.

    Article  PubMed  Google Scholar 

  232. Houshian S, Holst AK, Larsen MS, Torfing T. Remodeling of Salter–Harris type II epiphyseal plate injury of the distal radius. J Pediatr Orthop. 2004;24(5):472–6.

    Article  PubMed  Google Scholar 

  233. Friberg KS. Remodelling after distal forearm fractures in children. I. The effect of residual angulation on the spatial orientation of the epiphyseal plates. Acta Orthop Scand. 1979;50(5):537–46.

    Article  PubMed  CAS  Google Scholar 

  234. Friberg KS. Remodelling after distal forearm fractures in children. II. The final orientation of the distal and proximal epiphyseal plates of the radius. Acta Orthop Scand. 1979;50(6 Pt 2):731–739.

    Google Scholar 

  235. Friberg KS. Remodelling after distal forearm fractures in children. III. Correction of residual angulation in fractures of the radius. Acta Orthop Scand. 1979;50(6 Pt 2):741–749.

    Google Scholar 

  236. Nonnemann H. Grenzen der spontankorrectar fehlgeilter frakturen bei junend lichen. Lang Arch Klin Chir. 1969;324:78–96.

    Article  CAS  Google Scholar 

  237. Hernandez J Jr, Peterson HA. Fracture of the distal radial physis complicated by compartment syndrome and premature physeal closure. J Pediatr Orthop. 1986;6(5):627–30.

    Article  PubMed  Google Scholar 

  238. Zehntner MK, Jakob RP, McGanity PL. Growth disturbance of the distal radial epiphysis after trauma: operative treatment by corrective radial osteotomy. J Pediatr Orthop. 1990;10(3):411–5.

    Article  PubMed  CAS  Google Scholar 

  239. Valverde JA, Albinana J, Certucha JA. Early posttraumatic physeal arrest in distal radius after a compression injury. J Pediatr Orthop B. Winter. 1996;5(1):57–60.

    Article  CAS  Google Scholar 

  240. Aminian A, Schoenecker PL. Premature closure of the distal radial physis after fracture of the distal radial metaphysis. J Pediatr Orthop. 1995;15(4):495–8.

    Article  PubMed  CAS  Google Scholar 

  241. Tang CW, Kay RM, Skaggs DL. Growth arrest of the distal radius following a metaphyseal fracture: case report and review of the literature. J Pediatr Orthop B. 2001;11:89–92.

    Google Scholar 

  242. Davis DR, Green DP. Forearm fractures in children: pitfalls and complications. Clin Orthop Relat Res. 1976;120:172–83.

    PubMed  Google Scholar 

  243. Fliegel CP. Stress related widening of the radial growth plate in adolescents. Eur Soc Pediatr Radiol. 1985;29:374–6.

    Google Scholar 

  244. Carter SR, Aldridge MJ. Stress injury of the distal radial growth plate. J Bone Joint Surg Br. 1988;70-B(5):834–6.

    Google Scholar 

  245. Roy S, Caine D, Singer KM. Stress changes of the distal radial epiphysis in young gymnasts. A report of twenty-one cases and a review of the literature. Am J Sports Med. 1985;13(5):301–8.

    Article  PubMed  CAS  Google Scholar 

  246. Waters PM, Bae DS, Montgomery KD. Surgical management of posttraumatic distal radial growth arrest in adolescents. J. Pediatr. Orthop. 2002;22(6):717–24.

    PubMed  Google Scholar 

  247. Waters PM, Kolettis GJ, Schwend R. Acute median neuropathy following physeal fractures of the distal radius. J Pediatr Orthop. 1994;14(2):173–7.

    Article  PubMed  CAS  Google Scholar 

  248. DePablos J, Franzreb M, Barrios C. Longitudinal growth pattern of the radius after forearm fractures conservatively treated in children. J Pediatr Orthop. 1994;14:492–5.

    Article  CAS  Google Scholar 

  249. Golz RJ, Grogan DP, Greene TL, Belsole RJ, Ogden JA. Distal ulnar physeal injury. J Pediatr Orthop. 1991;11(3):318–26.

    Article  PubMed  CAS  Google Scholar 

  250. Lipschultz O. The end-results of injuries to the epiphyses. Radiol Manag. 1937;28:223–31.

    Article  Google Scholar 

  251. Nelson OA, Buchanan JR, Harrison CS. Distal ulnar growth arrest. J Hand Surg Am. 1984;9-A(2):164–71.

    Article  Google Scholar 

  252. Landfried MJ, Stenclik M, Susi JG. Variant of Galeazzi fracture-dislocation in children. J Pediatr Orthop. 1991;11(3):332–5.

    Article  PubMed  CAS  Google Scholar 

  253. Imatani J, Hashizume H, Nishida K, Morito Y, Inoue H. The Galeazzi-equivalent lesion in children revisited. J Hand Surg Br. 1996;21(4):455–7.

    Article  PubMed  CAS  Google Scholar 

  254. Letts M, Rowhani N. Galeazzi-equivalent injuries of the wrist in children. J Pediatr Orthop. 1993;13(5):561–6.

    Article  PubMed  CAS  Google Scholar 

  255. Walsh HP, McLaren CA, Owen R. Galeazzi fractures in children. J Bone Joint Surg Br. 1987;69-B(5):730–3.

    Google Scholar 

  256. Ray TD, Tessler RH, Dell PC. Traumatic ulnar physeal arrest after distal forearm fractures in children. J Pediatr Orthop. 1996;16(2):195–200.

    Article  PubMed  CAS  Google Scholar 

  257. Abid A, Accadbled F, Kany J, de Gauzy JS, Darodes P, Cahuzac JP. Ulnar styloid fracture in children: a retrospective study of 46 cases. J Pediatr Orthop B. 2008;17(1):15–9.

    Article  PubMed  Google Scholar 

  258. Bogumill GP. A morphologic study of the relationship of collateral ligaments to growth plates in the digits. J Hand Surg Am. 1983;8(1):74–9.

    Article  PubMed  CAS  Google Scholar 

  259. Hankin FM, Janda DH. Tendon and ligament attachments in relationship to growth plates in a child’s hand. J Hand Surg Br. 1989;14(3):315–8.

    Article  PubMed  CAS  Google Scholar 

  260. Fischer MD, McElfresh EC. Physeal and periphyseal injuries of the hand. Patterns of injury and results of treatment. Hand Clin. 1994;10(2):287–301.

    PubMed  CAS  Google Scholar 

  261. Al-Qattan MM, Al-Zahrani K, Al-Boukai AA. The relative incidence of fractures at the base of the proximal phalanx of the fingers in children. J Hand Surg Eur. 2008;33(4):465–8.

    Article  CAS  Google Scholar 

  262. Al-Qattan MM. Juxta-epiphyseal fractures of the base of the proximal phalanx of the fingers in children and adolescents. J Hand Surg Br. 2002;27(1):24–30.

    Article  PubMed  CAS  Google Scholar 

  263. Stahl S, Jupiter JB. Salter–Harris type III and IV epiphyseal fractures in the hand treated with tension-band wiring. J Pediatr Orthop. 1999;19(2):233–5.

    Article  PubMed  CAS  Google Scholar 

  264. Ogden JA, Conlogue GJ, Bronson ML. Radiology of postnatal skeletal development. III. The clavicle. Skeletal Radiol. 1979;4(4):196–203.

    Article  PubMed  CAS  Google Scholar 

  265. Freyschmidt J. Clavicle and sternoclavicular joint. p. 305, In: Freyschmidt J, Brossmann J, Sternberg A, Weins J, editors. Kohler/Zimmer borderlands of normal and early pathological findings in skeletal radiography. 5th edn. Stuttgart and New York: Thieme

    Google Scholar 

  266. Fawcett J. The development and ossification of the human clavicle. J Anat Physiol. 1913;47(Pt 2):225–34.

    PubMed Central  PubMed  CAS  Google Scholar 

  267. Perdreau A, Bingen B, Gossing L, Lejeune E, Beugnies A. Posterior sternoclavicular epiphyseal fracture-dislocation: case report and review of literature. Injury Extra. 2013;. doi:10.1016/j.injury.2013.10.035.

    Google Scholar 

  268. Schulz R, Muhler M, Reisinger W, Schmidt S, Schmeling A. Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med. 2008;122(1):55–8.

    Article  PubMed  Google Scholar 

  269. Singh J, Chavali KH. Age estimation from clavicular epiphyseal union sequencing in a Northwest Indian population of the Chandigarh region. J Forensic Leg Med. 2011;18(2):82–7.

    Article  PubMed  Google Scholar 

  270. Ogden JA. Distal clavicular physeal injury. Clin Orthop Relat Res. 1984;188:68–73.

    PubMed  Google Scholar 

  271. Denham RH Jr, Dingley AF Jr. Epiphyseal separation of the medial end of the clavicle. J Bone Joint Surg Am. 1967;49:1179–83.

    Google Scholar 

  272. Waters PM, Bae DS, Kadiyala RK. Short-term outcomes after surgical treatment of traumatic posterior sternoclavicular fracture-dislocations in children and adolescents. J Pediatr Orthop. 2003;23(4):464–9.

    PubMed  Google Scholar 

  273. Havranek P. Injuries of distal clavicular physis in children. J Pediatr Orthop. 1989;9(2):213–5.

    Article  PubMed  CAS  Google Scholar 

  274. Blair W, Hanson C. Traumatic closure of the triradiate cartilage: report of a case. J Bone Joint Surg Am. 1979;61(1):144–5.

    PubMed  CAS  Google Scholar 

  275. Bryan WJ, Tullos HS. Pediatric pelvic fractures: review of 52 patients. J Trauma. 1979;19(11):799–805.

    Article  PubMed  CAS  Google Scholar 

  276. Bucholz RW, Ezaki M, Ogden JA. Injury to the acetabular triradiate physeal cartilage. J Bone Joint Surg Am. 1982;64A(4):600–9.

    Google Scholar 

  277. Hallel T, Salvati EA. Premature closure of the triradiate cartilage. A case report and animal experiment. Clin Orthop Relat Res. 1977;124:278–81.

    PubMed  Google Scholar 

  278. Ljubosic N. Poraneni jamky kycelniho kloubu u deti. Acta Chir Orthop Traumatal Cech. 1967;34:393–400.

    Google Scholar 

  279. Rodrigues KF. Injury of the acetabular epiphysis. Injury. 1973;4(3):258–60.

    Article  PubMed  CAS  Google Scholar 

  280. Scuderi G, Bronson MJ. Triradiate cartilage injury. Report of two cases and review of the literature. Clin Orthop Relat Res. 1987;217:179–89.

    PubMed  Google Scholar 

  281. Hughes LO, Beaty JH. Fractures of the head and neck of the femur in children. J Bone Joint Surg Am. 1994;76-A(2):283–92.

    Google Scholar 

  282. Bagatur AE, Zorer G. Complications associated with surgically treated hip fractures in children. J Pediatr Orthop B. 2002;11(3):219–28.

    PubMed  Google Scholar 

  283. Canale ST, Bourland WL. Fracture of the neck and intertrochanteric region of the femur in children. J Bone Joint Surg Am. 1977;59-A(4):431–43.

    Google Scholar 

  284. Lam SF. Fractures of the neck of the femur in children. J Bone Joint Surg Am. 1971;53A(6):1165–79.

    Google Scholar 

  285. McDougall A. Fracture of the neck of the femur in childhood. J Bone Joint Surg. 1961;43-B:16–28.

    Google Scholar 

  286. Ratliff AH. Fractures of the neck of the femur in children. J Bone Joint Surg Br. 1962;44-B:528–42.

    PubMed  CAS  Google Scholar 

  287. Chung SM. The arterial supply of the developing proximal end of the human femur. J Bone Joint Surg Am. 1976;58-A(7):961–70.

    Google Scholar 

  288. Miller WE. Fractures of the hip in children from birth to adolescence. Clin Orthop Relat Res. 1973;92:155–88.

    Article  PubMed  Google Scholar 

  289. Davison BL, Weinstein SL. Hip fractures in children: a long-term follow-up study. J Pediatr Orthop. 1992;12(3):355–8.

    Article  PubMed  CAS  Google Scholar 

  290. Forlin E, Guille JT, Kumar SJ, Rhee KJ. Transepiphyseal fractures of the neck of the femur in very young children. J Pediatr Orthop. 1992;12(2):164–8.

    Article  PubMed  CAS  Google Scholar 

  291. Ogden JA, Lee KE, Rudicel SA, Pelker RR. Proximal femoral epiphysiolysis in the neonate. J Pediatr Orthop. 1984;4(3):285–92.

    Article  PubMed  CAS  Google Scholar 

  292. Ballai M, Dawoodi A, Sampath J, Bass A. A traumatic transepiphyseal separation of the upper femoral epiphysis following seizures in two children with cerebral palsy. J Bone Joint Surg. 2008;90B:382–4.

    Article  Google Scholar 

  293. Milgram JW, Lyne ED. Epiphysiolysis of the proximal femur in very young children. Clin Orthop Relat Res. 1975;110:146–53.

    Article  PubMed  Google Scholar 

  294. Banagale RC, Kuhns LR. Traumatic separation of the distal femoral epiphysis in the newborn. J Pediatr Orthop. 1983;3(3):396–8.

    Article  PubMed  CAS  Google Scholar 

  295. Riseborough EJ, Barrett IR, Shapiro F. Growth disturbances following distal femoral physeal fracture-separations. J Bone Joint Surg Am. 1983;65-A(7):885–93.

    Google Scholar 

  296. Czitrom AA, Salter RB, Willis RB. Fractures Involving the Distal Epiphyseal plate of the femur. Int Orthop. 1981;4(4):269–77.

    PubMed  CAS  Google Scholar 

  297. Lombardo SJ, Harvey JP Jr. Fractures of the distal femoral epiphyses. Factors influencing prognosis: a review of thirty-four cases. J Bone Joint Surg Am. 1977;59-A(6):742–51.

    Google Scholar 

  298. Roberts J. Fracture-separation of the distal femoral epiphysis. J Bone Joint Surg. 1973;55-A:1324.

    Google Scholar 

  299. Stephens DC, Louis DS. Traumatic separation of the distal femoral epiphyseal cartilage plate. J Bone Joint Surg Am. 1974;56-A(7):1383–90.

    Google Scholar 

  300. Abbot LC, Gill GG. Valgus deformity of the knee resulting from injury to the lower femoral epiphysis. J Bone Joint Surg. 1942;1942(24):97–113.

    Google Scholar 

  301. Bylander B, Aronson S, Egund N, Hansson LI, Selvik G. Growth disturbance after physial injury of distal femur and proximal tibia studied by roentgen stereophotogrammetry. Arch Orthop Trauma Surg. 1981;98(3):225–35.

    Article  PubMed  CAS  Google Scholar 

  302. Cassebaum WH, Patterson AH. Fractures of the distal femoral epiphysis. Clin Orthop Relat Res. 1965;41:79–91.

    PubMed  CAS  Google Scholar 

  303. Criswell AR, Hand WL, Butler JE. Abduction injuries of the distal femoral epiphysis. Clin Orthop Relat Res. 1976;115:189–94.

    PubMed  Google Scholar 

  304. Neer CS 2nd. Separation of the lower femoral epiphysis. Am J Surg. 1960;99:756–9.

    Article  PubMed  Google Scholar 

  305. Padovani J, Rigault P, Raux P, Lignac F, Guyonvarch G. Decollements epiphysaires traumatiques de l’extremitie inferieure du femur. Rev Chir Orthop. 1976;62:211–30.

    PubMed  CAS  Google Scholar 

  306. Basener CJ, Mehlman CT, DiPasquale TG. Growth disturbance after distal femoral growth plate fractures in children: a meta-analysis. J Orthop Trauma. 2009;23(9):663–7.

    Article  PubMed  Google Scholar 

  307. Torg JS, Pavlov H, Morris VB. Salter–Harris type-III fracture of the medial femoral condyle occurring in the adolescent athlete. J Bone Joint Surg Am. 1981;63-A(4):586–91.

    Google Scholar 

  308. Lippert WC, Owens RF, Wall EJ. Salter–Harris type III fractures of the distal femur: plain radiographs can be deceptive. J Pediatr Orthop. 2010;30(6):598–605.

    Article  PubMed  Google Scholar 

  309. Thomson J, Stricker S, Williams M. Fracture of the distal femoral epiphyseal plate. J Pediatr Orthop. 1995;15:474–8.

    Article  PubMed  CAS  Google Scholar 

  310. Arkader A, Warner WJ, Horn B, Shaw R, Wells L. Predicting the outcome of physeal fractures of the distal femur. J Pediatr Orthop. 2007;27:703–8.

    Article  PubMed  Google Scholar 

  311. Garrett BR, Hoffman EB, Carrara H. The effect of percutaneous pin fixation in the treatment of distal femoral physeal fractures. J Bone Joint Surg Br. 2011;93(5):689–94.

    Article  PubMed  CAS  Google Scholar 

  312. Eid AM, Hafez MA. Traumatic injuries of the distal femoral physis. Retrospective study on 151 cases. Injury. 2002;33(3):251–5.

    Article  PubMed  Google Scholar 

  313. Segal LS, Shrader MW. Periosteal entrapment in distal femoral physeal fractures: harbinger for premature physeal arrest ? Acta Orthop Belg. 2011;77(5):684–90.

    PubMed  Google Scholar 

  314. Liu RW, Armstrong DG, Levine AD, Gilmore A, Thompson GH, Cooperman DR. An anatomic study of the distal femoral epiphysis. J Pediatr Orthop. 2013;33(7):743–9.

    Article  PubMed  CAS  Google Scholar 

  315. Burkhardt SS, Peterson HA. Fractures of the proximal tibial epiphysis. J Bone Joint Surg. 1979;61-A:996–1002.

    Google Scholar 

  316. Aitken AP, Ingersoll RE. Fractures of the proximal tibial epiphyseal cartilage. J Bone Joint Surg Am. 1956;38-A(4):787–96.

    PubMed  CAS  Google Scholar 

  317. Nolan RA, Meyers NH, Patzakis MJ, Harvey JR Jr. Tibial epiphyseal injuries. Contemp Orthop. 1978;1:11–23.

    Google Scholar 

  318. Shelton WR, Canale ST. Fractures of the tibia through the proximal tibial epiphyseal cartilage. J Bone Joint Surg Am. 1979;61-A(2):167–73.

    Google Scholar 

  319. Meyers MH, McKeever FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am. 1970;52(8):1677–84.

    PubMed  CAS  Google Scholar 

  320. Zaricznyj B. Avulsion fracture of the tibial eminence: treatment by open reduction and pinning. J Bone Joint Surg Am. 1977;59-A(8):1111–4.

    Google Scholar 

  321. Mah JY, Otsuka NY, McLean J. An arthroscopic technique for the reduction and fixation of tibial-eminence fractures. J Pediatr Orthop. 1996;16(1):119–21.

    Article  PubMed  CAS  Google Scholar 

  322. Kocher MS, Micheli LJ, Gerbino P, Hresko MT. Tibial eminence fractures in children: prevalence of meniscal entrapment. Am J Sports Med. 2003;31(3):404–7.

    PubMed  Google Scholar 

  323. Lowe J, Chaimsky G, Freedman A, Zion I, Howard C. The anatomy of tibial eminence fractures: arthroscopic observations following failed closed reduction. J Bone Joint Surg Am. 2002;84-A(11):1933–8.

    PubMed  CAS  Google Scholar 

  324. Wiley JJ, Baxter MP. Tibial spine fractures in children. Clin Orthop Relat Res. 1990;255:54–60.

    PubMed  Google Scholar 

  325. Gronkvist H, Hirsch G, Johansson L. Fracture of the anterior tibial spine in children. J Pediatr Orthop. 1984;4(4):465–8.

    Article  PubMed  CAS  Google Scholar 

  326. Smith JB. Knee instability after fractures of the intercondylar eminence of the tibia. J Pediatr Orthop. 1984;4(4):462–4.

    Article  PubMed  CAS  Google Scholar 

  327. Noyes FR, DeLucas JL, Torvik PJ. Biomechanics of anterior cruciate ligament failure: an analysis of strain-rate sensitivity and mechanisms of failure in primates. J Bone Joint Surg Am. 1974;56A(2):236–53.

    Google Scholar 

  328. Willis RB, Blokker C, Stoll TM, Paterson DC, Galpin RD. Long-term follow-up of anterior tibial eminence fractures. J Pediatr Orthop. 1993;13(3):361–4.

    Article  PubMed  CAS  Google Scholar 

  329. Janarv PM, Westblad P, Johansson C, Hirsch G. Long-term follow-up of anterior tibial spine fractures in children. J Pediatr Orthop. 1995;15(1):63–8.

    Article  PubMed  CAS  Google Scholar 

  330. McLennan JG. Lessons learned after second-look arthroscopy in type III fractures of the tibial spine. J Pediatr Orthop. 1995;15(1):59–62.

    Article  PubMed  CAS  Google Scholar 

  331. Reynders P, Reynders K, Broos P. Pediatric and adolescent tibial eminence fractures: arthroscopic cannulated screw fixation. J Trauma. 2002;53(1):49–54.

    Article  PubMed  Google Scholar 

  332. Kocher MS, Foreman ES, Micheli LJ. Laxity and functional outcome after arthroscopic reduction and internal fixation of displaced tibial spine fractures in children. Arthroscopy. 2003;19(10):1085–90.

    Article  PubMed  Google Scholar 

  333. Kocher MS, Garg S, Micheli LJ. Physeal sparing reconstruction of the anterior cruciate ligament in skeletally immature prepubescent children and adolescents. J Bone Joint Surg Am. 2005;87(11):2371–9.

    Article  PubMed  Google Scholar 

  334. Mah JY, Adili A, Otsuka NY, Ogilvie R. Follow-up study of arthroscopic reduction and fixation of type III tibial-eminence fractures. J Pediatr Orthop. 1998;18(4):475–7.

    PubMed  CAS  Google Scholar 

  335. Watson-Jones R. Fractures and Joint Injuries. vol 2. 4 ed. Baltimore: Williams and Wilkins; 1955.

    Google Scholar 

  336. Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am. 1980;62-A(2):205–15.

    Google Scholar 

  337. Ryu RK, Debenham JO. An unusual avulsion fracture of the proximal tibial epiphysis. Case report and proposed addition to the Watson-Jones classification. Clin Orthop Relat Res. 1985;194:181–4.

    PubMed  Google Scholar 

  338. Brey JM, Conoley J, Canale ST, et al. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? J Pediatr Orthop. 2012;32(6):561–6.

    Article  PubMed  Google Scholar 

  339. Pace JL, McCulloch PC, Momoh EO, Nasreddine AY, Kocher MS. Operatively treated type IV tibial tubercle apophyseal fractures. J Pediatr Orthop. 2013;33(8):791–6.

    Article  PubMed  Google Scholar 

  340. Gaudier, Bouret. De l’arrachement de la tuberosite anterieure du tibia. Rev Chir. 1905;32:305–34.

    Google Scholar 

  341. Polakoff DR, Bucholz RW, Ogden JA. Tension band wiring of displaced tibial tuberosity fractures in adolescents. Clin Orthop Relat Res. 1986;209:161–5.

    PubMed  Google Scholar 

  342. Frey S, Hosalkar H, Cameron DB, Heath A, David Horn B, Ganley TJ. Tibial tuberosity fractures in adolescents. J Child Orthop. 2008;2(6):469–74.

    Article  PubMed Central  PubMed  Google Scholar 

  343. Henard DC, Bobo RT. Avulsion fractures of the tibial tubercle in adolescents. A report of bilateral fractures and a review of the literature. Clin Orthop Relat Res. 1983;177:182–7.

    PubMed  Google Scholar 

  344. Bolesta MJ, Fitch RD. Tibial tubercle avulsions. J Pediatr Orthop. 1986;6(2):186–92.

    Article  PubMed  CAS  Google Scholar 

  345. Hand WL, Hand CR, Dunn AW. Avulsion fractures of the tibial tubercle. J Bone Joint Surg Am. 1971;53(8):1579–83.

    PubMed  CAS  Google Scholar 

  346. Christie MJ, Dvonch VM. Tibial tuberosity avulsion fracture in adolescents. J Pediatr Orthop. 1981;1(4):391–4.

    Article  PubMed  CAS  Google Scholar 

  347. Chow SP, Lam JJ, Leong JC. Fracture of the tibial tubercle in the adolescent. J Bone Joint Surg Br. 1990;72-B(2):231–4.

    Google Scholar 

  348. Driessnack RP, Marcus NW. Fracture of an unossified tibial tubercle. J Pediatr Orthop. 1985;5(6):728–30.

    Article  PubMed  CAS  Google Scholar 

  349. Pappas AM, Anas P, Toczylowski HM Jr. Asymmetrical arrest of the proximal tibial physis and genu recurvatum deformity. J Bone Joint Surg Am. 1984;66-A(4):575–81.

    Google Scholar 

  350. Seel EH, Noble S, Clarke NM, Uglow MG. Outcome of distal tibial physeal injuries. J Pediatr Orthop B. 2011;20(4):242–8.

    Article  PubMed  Google Scholar 

  351. Schurz M, Binder H, Platzer P, Schulz M, Hajdu S, Vecsei V. Physeal injuries of the distal tibia: long-term results in 376 patients. Int Orthop. 2010;34(4):547–52.

    Article  PubMed Central  PubMed  Google Scholar 

  352. Cooperman DR, Spiegel PG, Laros GS. Tibial fractures involving the ankle in children. The so-called triplane epiphyseal fracture. J Bone Joint Surg Am. 1978;60-A(8):1040–6.

    Google Scholar 

  353. Lemburg SP, Lilienthal E, Heyer CM. Growth plate fractures of the distal tibia: is CT imaging necessary? Arch Orthop Trauma Surg. 2010;130(11):1411–7.

    Article  PubMed  Google Scholar 

  354. Strohm PC, Hauschild O. Reliability and necessity of computed tomography in distal tibial physeal injuries. J Pediatr Orthop. 2013;33(2):e18.

    Article  PubMed  Google Scholar 

  355. Seifert J, Matthes G, Hinz P, et al. Role of magnetic resonance imaging in the diagnosis of distal tibia fractures in adolescents. J Pediatr Orthop. 2003;23(6):727–32.

    Article  PubMed  Google Scholar 

  356. Giuliani K. Spatzustande nach traumatisch-mechanischen schadigungen der epiphyse am distalen tibiaende. Arch orthop Unfall-Chir. 1952;45:386–94.

    Article  CAS  Google Scholar 

  357. Bartl R. Die traumatische epiphysenlosung am distalen ende des schienbeines und des wadenbeines. Hefte zur Unfallheilkunde. 1957;54:617–9.

    Google Scholar 

  358. Peterson HA. Partial growth plate arrest and its treatment. J Pediatr Orthop. 1984;4(2):246–58.

    Article  PubMed  CAS  Google Scholar 

  359. Chadwick CJ, Bentley G. Prognosis and classification of epiphyseal injuries. J Bone Joint Surg. 1985;67-B:148–9.

    Google Scholar 

  360. Dotter WE, McHolick WJ. The results of treatment of traumatic injuries to the distal tibial epiphyseal cartilage. Guthrie Clin Bull. 1953;22(4):165–73.

    PubMed  CAS  Google Scholar 

  361. Kump WL. Vertical fractures of the distal tibial epiphysis. Am J Roentgenol Radium Ther Nucl Med. 1966;97(3):676–81.

    Article  PubMed  CAS  Google Scholar 

  362. Cass JR, Peterson HA. Salter–Harris Type-IV injuries of the distal tibial epiphyseal growth plate, with emphasis on those involving the medial malleolus. J Bone Joint Surg Am. 1983;65-A(8):1059–70.

    Google Scholar 

  363. Karrholm J, Hansson LI, Laurin S. Computed tomography of intraarticular supination—eversion fractures of the ankle in adolescents. J Pediatr Orthop. 1981;1(2):181–7.

    Article  PubMed  CAS  Google Scholar 

  364. Karrholm J, Hansson LI, Laurin S. Supination–eversion injuries of the ankle in children: a retrospective study of radiographic classification and treatment. J Pediatr Orthop. 1982;2(2):147–59.

    Article  PubMed  CAS  Google Scholar 

  365. Karrholm J, Hansson LI, Laurin S. Pronation injuries of the ankle in children. Retrospective study of radiographical classification and treatment. Acta Orthop Scand. 1983;54(1):1–17.

    Article  PubMed  CAS  Google Scholar 

  366. Karrholm J, Hansson LI, Selvik G. Roentgen stereophotogrammetric analysis of growth pattern after supination-adduction ankle injuries in children. J Pediatr Orthop. 1982;2(3):271–9.

    Article  PubMed  CAS  Google Scholar 

  367. Karrholm J, Hansson LI, Selvik G. Changes in tibiofibular relationships due to growth disturbances after ankle fractures in children. J Bone Joint Surg Am. 1984;66A(8):1198–210.

    Google Scholar 

  368. Karrholm J, Hansson LI, Svensson K. Prediction of growth pattern after ankle fractures in children. J Pediatr Orthop. 1983;3(3):319–25.

    Article  PubMed  CAS  Google Scholar 

  369. Kling TF Jr, Bright RW, Hensinger RN. Distal tibial physeal fractures in children that may require open reduction. J Bone Joint Surg Am. 1984;66-A(5):647–57.

    Google Scholar 

  370. Landin LA, Danielsson LG. Children’s ankle fractures. Classification and epidemiology. Acta Orthop Scand. 1983;54(4):634–40.

    Article  PubMed  CAS  Google Scholar 

  371. Landin LA, Danielsson LG, Jonsson K, Pettersson H. Late results in 65 physeal ankle fractures. Acta Orthop Scand. 1986;57(6):530–4.

    Article  PubMed  CAS  Google Scholar 

  372. Spiegel PG, Cooperman DR, Laros GS. Epiphyseal fractures of the distal ends of the tibia and fibula. A retrospective study of two hundred and thirty-seven cases in children. J Bone Joint Surg Am.1978;60-A(8):1046–1050.

    Google Scholar 

  373. Spiegel PG, Mast JW, Cooperman DR, Laros GS. Triplane fracture of the distal tibial epiphysis. Clin Orthop Relat Res. 1984;188:74–89.

    Google Scholar 

  374. Hynes D, O’Brien T. Growth disturbance lines after injury of the distal tibial physis. Their significance in prognosis. J Bone Joint Surg Br. 1988;70-B(2):231–3.

    Google Scholar 

  375. Cutler L, Molloy A, Dhukuram V, Bass A. Do CT scans aid assessment of distal tibial physeal fractures? J Bone Joint Surg. 2004;86-B:239–43.

    Article  Google Scholar 

  376. Leary JT, Handling M, Talerico M, Yong L, Bowe JA. Physeal fractures of the distal tibia: predictive factors of premature physeal closure and growth arrest. J Pediatr Orthop. 2009;29(4):356–61.

    Article  PubMed  Google Scholar 

  377. Barmada A, Gaynor T, Mubarak SJ. Premature physeal closure following distal tibia physeal fractures: a new radiographic predictor. J Pediatr Orthop. 2003;23(6):733–9.

    Article  PubMed  Google Scholar 

  378. MacNealy GA, Rogers LF, Hernandez R, Poznanski AK. Injuries of the distal tibial epiphysis: systematic radiographic evaluation. AJR Am J Roentgenol. 1982;138:683–9.

    Article  CAS  Google Scholar 

  379. Dias LS, Giegerich CR. Fractures of the distal tibial epiphysis in adolescence. J Bone Joint Surg Am. 1983;65-A(4):438–44.

    Google Scholar 

  380. Tillaux P. Traite de Chirurgie Clinique. vol. 2, 4th ed. Paris: Arseline et Houzeau; 1897.

    Google Scholar 

  381. Kleiger B, Mankin HJ. Fracture of the lateral portion of the distal tibial epiphysis. J Bone Joint Surg. 1964;46-A:25–32.

    Google Scholar 

  382. Stefanich RJ, Lozman J. The juvenile fracture of Tillaux. Clin Orthop Relat Res. 1986;210:219–27.

    PubMed  Google Scholar 

  383. Dias LS, Tachdjian MO. Physeal injuries of the ankle in children: classification. Clin Orthop Relat Res. 1978;136:230–3.

    PubMed  Google Scholar 

  384. Molster A, Soreide O, Solhaug J, Raugstad T. Fractures of the lateral part of the distal tibial epiphysis (Tillaux or Kleiger fracture). Injury. 1976;8:260–3.

    Article  Google Scholar 

  385. Marmor L. An unusual fracture of the tibial epiphysis. Clin Orthop Relat Res. 1970;73:132–5.

    PubMed  CAS  Google Scholar 

  386. Lynn MD. The triplane distal tibial epiphyseal fracture. Clin Orthop Relat Res. 1972;86:187–90.

    Article  PubMed  CAS  Google Scholar 

  387. Peiro A, Aracil J, Martos F, Mut T. Triplane distal tibial epiphyseal fracture. Clin Orthop Relat Res. 1981;160:196–200.

    PubMed  Google Scholar 

  388. Clement DA, Worlock PH. Triplane fracture of the distal tibia. A variant in cases with an open growth plate. J Bone Joint Surg Br. 1987;69-B(3):412–5.

    Google Scholar 

  389. Ertl JP, Barrack RL, Alexander AH, VanBuecken K. Triplane fracture of the distal tibial epiphysis. J Bone Joint Surg Am. 1988;79-A:967–76.

    Google Scholar 

  390. Rapariz JM, Ocete G, Gonzalez-Herranz P, et al. Distal tibial triplane fractures: long-term follow-up. J Pediatr Orthop. 1996;16(1):113–8.

    Article  PubMed  CAS  Google Scholar 

  391. Kim JR, Song KH, Song KJ, Lee HS. Treatment outcomes of triplane and Tillaux fractures of the ankle in adolescence. Clin Orthop Surg. 2010;2(1):34–8.

    Article  PubMed Central  PubMed  Google Scholar 

  392. Cummings RJ. Triplane ankle fracture with deltoid ligament tear and syndesmotic disruption. J Child Orthop. 2008;2(1):11–4.

    Article  PubMed Central  PubMed  Google Scholar 

  393. Beaty JH, Linton RC. Medial malleolar fracture in a child. A case report. J Bone Joint Surg Am. 1988;70-A(8):1254–5.

    Google Scholar 

  394. Nenopoulos S, Papavsiliou V, Papavsiliou A. Outcome of physeal and epiphyseal injuries of the distal tibia with intra-articular involvement. J Pediatr Orthop. 2005;25:518–22.

    Article  PubMed  Google Scholar 

  395. Cottalorda J, Beranger V, Louahem D, et al. Salter–Harris Type III and IV medial malleolar fractures: growth arrest: is it a fate? A retrospective study of 48 cases with open reduction. J Pediatr Orthop. 2008;28(6):652–5.

    Article  PubMed  Google Scholar 

  396. Petratos DV, Kokkinakis M, Ballas EG, Anastasopoulos JN. Prognostic factors for premature growth plate arrest as a complication of the surgical treatment of fractures of the medial malleolus in children. Bone Joint J. 2013;95-B(3):419–23.

    Article  PubMed  CAS  Google Scholar 

  397. McFarland B. Traumatic arrest of epiphysial growth at the lower end of the tibia. Br J Surg. 1931;19:78–82.

    Article  Google Scholar 

  398. Russo F, Moor MA, Mubarak SJ, Pennock AT. Salter–Harris II fractures of the distal tibia: does surgical management reduce the risk of premature physeal closure? J Pediatr Orthop. 2013;33(5):524–9.

    Article  PubMed  Google Scholar 

  399. Rohmiller MT, Gaynor TP, Pawelek J, Mubarak SJ. Salter–Harris I and II fractures of the distal tibia: does mechanism of injury relate to premature physeal closure? J Pediatr Orthop. 2006;26(3):322–8.

    Article  PubMed  Google Scholar 

  400. Kraus R, Kaiser M. Growth disturbances of the distal tibia after physeal separation–what do we know, what do we believe we know? A review of current literature. Eur J Pediatr Surg. 2008;18(5):295–9.

    Article  PubMed  CAS  Google Scholar 

  401. Von Laer L, Kraus R, Linhart W. Frakturen und Luxationem im Wachstumsalter. 5th ed. Stuttgart, New York: Thieme; 2007.

    Google Scholar 

  402. Schneider F, Sprunggelenk. In: von Laer L, editor. Hrsg. Das verletzte Kind. Stuttgart, New York: Thieme; 2007, p. 97–1005.

    Google Scholar 

  403. Havranek P. Proximal fibular physeal injury. J Pediatr Orthop B. 1996;5(2):115–8.

    Article  CAS  Google Scholar 

  404. Boutis K, Narayanan UG, Dong FF, et al. Magnetic resonance imaging of clinically suspected Salter–Harris I fracture of the distal fibula. Injury. 2010;41(8):852–6.

    Article  PubMed  Google Scholar 

  405. Bertin KC, Goble EM. Ligament injuries associated with physeal fractures about the knee. Clin Orthop Relat Res. 1983;177:188–95.

    PubMed  Google Scholar 

  406. Gillies CL, Hartung W. Fracture of the tibia in spina bifida vera. Radiology Management. 1938;31:621–3.

    Article  Google Scholar 

  407. Gyepes MT, Newbern DH, Neuhauser EB. Metaphyseal and Physeal Injuries in Children with Spina Bifida and Meningomyeloceles. Am J Roentgenol Radium Ther Nucl Med. 1965;95:168–77.

    Article  PubMed  CAS  Google Scholar 

  408. Soutter FE. Spina bifida and epiphysial displacement. Report of two cases. J Bone Joint Surg Br. 1962;44-B:106–9.

    PubMed  CAS  Google Scholar 

  409. Wenger DR, Jeffcoat BT, Herring JA. The guarded prognosis of physeal injury in paraplegic children. J Bone Joint Surg Am. 1980;62A(2):241–6.

    Google Scholar 

  410. Kumar SJ, Cowell HR, Townsend P. Physeal, metaphyseal, and diaphyseal injuries of the lower extremities in children with myelomeningocele. J Pediatr Orthop. 1984;4(1):25–7.

    Article  PubMed  CAS  Google Scholar 

  411. Lock TR, Aronson DD. Fractures in patients who have myelomeningocele. J Bone Joint Surg Am. 1989;71-A(8):1153–7.

    Google Scholar 

  412. Roberts JA, Bennet GC, MacKenzie JR. Physeal widening in children with myelomeningocele. J Bone Joint Surg Br. 1989;71-B(1):30–2.

    Google Scholar 

  413. Fromm B, Pfeil J, Carstens C, Niethard F. Fractures and epiphysiolyses in children with myelomeninogocele. J Pediatr Orthop B. 1992;1:21–7.

    Google Scholar 

  414. Edvardsen P. Physeo-epiphyseal injuries of lower extremities in myelomeningocele. Acta Orthop Scand. 1972;43(6):550–7.

    Article  PubMed  CAS  Google Scholar 

  415. Quilis AN. Fractures in children with myelomeningocele. Acta Orthop Scand. 1974;45(6):883–97.

    Article  PubMed  CAS  Google Scholar 

  416. Golding C. Museum pages. III. Spina bifida and epiphysial displacement. J Bone Joint Surg Br. 1960;42-B:387–9.

    PubMed  CAS  Google Scholar 

  417. Rodgers WB, Schwend RM, Jaramillo D, Kasser JR, Emans JB. Chronic physeal fractures in myelodysplasia: magnetic resonance analysis, histologic description, treatment, and outcome. J Pediatr Orthop. 1997;17(5):615–21.

    Article  PubMed  CAS  Google Scholar 

  418. Aroojis AJ, Gajjar SM, Johari AN. Epiphyseal separations in spastic cerebral palsy. J Pediatr Orthop B. 2007;16(3):170–4.

    Article  PubMed  Google Scholar 

  419. Morton KS, Starr DE. Closure of the anterior portion of the upper tibial epiphysis as a complication of tibial-shaft fracture. J Bone Joint Surg Am. 1964;46-A:570–4.

    Google Scholar 

  420. Hunter LY, Hensinger RN. Premature monomelic growth arrest following fracture of the femoral shaft. A case report. J Bone Joint Surg Am. 1978;60-A(6):850–2.

    Google Scholar 

  421. Hresko MT, Kasser JR. Physeal arrest about the knee associated with non-physeal fractures in the lower extremity. J Bone Joint Surg Am. 1989;71-A(5):698–703.

    Google Scholar 

  422. Beals RK. Premature closure of the physis following diaphyseal fractures. J Pediatr Orthop. 1990;10(6):717–20.

    Article  PubMed  CAS  Google Scholar 

  423. Bowler JR, Mubarak SJ, Wenger DR. Tibial physeal closure and genu recurvatum after femoral fracture: occurrence without a tibial traction pin. J Pediatr Orthop. 1990;10(5):653–7.

    Article  PubMed  CAS  Google Scholar 

  424. Paul AS, Kay PR, Haines JF. Distal ulnar growth plate arrest following a diaphyseal fracture. J R Coll Surg Edinb. 1992;37(5):347–8.

    PubMed  CAS  Google Scholar 

  425. Caine D, DiFiori J, Maffulli N. Physeal injuries in children’s and youth sports: reasons for concern? Br J Sports Med. 2006;40(9):749–60.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  426. Adams JE. Little league shoulder: osteochondrosis of the proximal humeral epiphysis in boy baseball pitchers. Calif Med. 1966;105(1):22–5.

    PubMed Central  PubMed  CAS  Google Scholar 

  427. Dotter WE. Little leaguer’s shoulder: a fracture of the proximal epiphysial cartilage of the humerus due to baseball pitching. Guthrie Clin Bull. 1953;23(1):68–72.

    PubMed  CAS  Google Scholar 

  428. Cahill BR. Stress fracture of the proximal tibial epiphysis: a case report. Am J Sports Med. 1977;5(5):186–7.

    Article  PubMed  CAS  Google Scholar 

  429. Carson WG Jr, Gasser SI. Little Leaguer’s shoulder. A report of 23 cases. Am J Sports Med. 1998;26(4):575–80.

    PubMed  Google Scholar 

  430. Godshall RW, Hansen CA, Rising DC. Stress fractures through the distal femoral epiphysis in athletes. A previously unreported entity. Am J Sports Med. 1981;9(2):114–6.

    Article  PubMed  CAS  Google Scholar 

  431. Laor T, Wall EJ, Vu LP. Physeal widening in the knee due to stress injury in child athletes. Am J Roent. 2006;186:1260–4.

    Article  Google Scholar 

  432. Bjerkreim I, Benum P. Genu recurvatum: a late complication of tibial wire traction in fractures of the femur in children. Acta Orthop Scand. 1975;46(6):1012–9.

    Article  PubMed  CAS  Google Scholar 

  433. VanMeter JW, Branick RI. Bilateral genu recurvatum after skeletal traction. J Bone Joint Surg. 1980;62-A:837–9.

    Google Scholar 

  434. Shapiro F. Epiphyseal disorders. N Engl J Med. 1987;317(27):1702–10.

    Article  PubMed  CAS  Google Scholar 

  435. Chadwick CJ. Spontaneous resolution of varus deformity at the ankle following adduction injury of the distal tibial epiphysis. A case report. J Bone Joint Surg Am. 1982;64-A(5):774–6.

    Google Scholar 

  436. Langenskiold A. An operation for partial closure of an epiphysial plate in children, and its experimental basis. J Bone Joint Surg Br. 1975;57-B(3):325–30.

    Google Scholar 

  437. Williamson R, Staheli L. Partial physeal growth arrest: treatment by bridge resection and fat interposition. J Pediatr Orthop. 1990;10:769–76.

    Article  PubMed  CAS  Google Scholar 

  438. Mallet J. Les epiphysiodeses partielles traumatiques de l’extremite inferieure du tibia chez l’enfant. Leur traitement avec desepiphysiodese. Rev Chir Orthop. 1975;61:5–16.

    PubMed  CAS  Google Scholar 

  439. Osterman K. Operative elimination of partial premature epiphyseal closure. An experimental study. Acta Orthop Scand Suppl. 1972:1–79.

    Google Scholar 

  440. Bright RW. Operative correction of partial epiphyseal plate closure by osseous-bridge resection and silicone-rubber implant. An experimental study in dogs. J Bone Joint Surg Am. 1974;56-A(4):655–63.

    Google Scholar 

  441. Eulert J. Transplantation du cartilage de la crete iliaque apres desepiphyseiodese: etude experiementale. Rev Chir Orthop. 1979;65:65–75.

    PubMed  CAS  Google Scholar 

  442. Lennox DW, Goldner RD, Sussman MD. Cartilage as an interposition material to present transphyseal bone bridge formation: an exprimental model. J Pediatr Orthop. 1983;3:207–10.

    Article  PubMed  CAS  Google Scholar 

  443. Olin A, Creasman C, Shapiro F. Free physeal transplantation in the rabbit. An experimental approach to focal lesions. J Bone Joint Surg Am. 1984;66-A(1):7–20.

    Google Scholar 

  444. Teot L, Bosse JP, Gilbert A, Tremblay GR. Pedicle graft epiphysis transplantation. Clin Orthop Relat Res. 1983;180:206–18.

    PubMed  Google Scholar 

  445. Zaleske DJ, Ehrlich MG, Piliero C, May JW Jr, Mankin HJ. Growth-plate behavior in whole joint replantation in the rabbit. J Bone Joint Surg Am. 1982;64-A(2):249–58.

    Google Scholar 

  446. Lalanandham T, Ehrlich MG, Zaleske DJ, Deeney VF, Mankin HJ. Viability and metabolism of cartilage transplanted to physeal regions. J Pediatr Orthop. 1990;10(4):450–8.

    Article  PubMed  CAS  Google Scholar 

  447. Aldegheri R, Trivella G, Lavini F. Epiphyseal distraction. Hemichondrodiatasis. Clin Orthop Relat Res. 1989;241:128–36.

    PubMed  Google Scholar 

  448. Canadell J, de Pablos J. Breaking bony bridges by physeal distraction.A new approach. Int Orthop. 1985;9(4):223–9.

    Article  PubMed  CAS  Google Scholar 

  449. Fjeld TO, Steen H. Growth retardation after experimental limb lengthening by epiphyseal distraction. J Pediatr Orthop. 1990;10(4):463–6.

    Article  PubMed  CAS  Google Scholar 

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  1. Harvard Medical School, Boston Children’s Hospital, Boston, MA, USA

    Frederic Shapiro

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Shapiro, F. (2016). Epiphyseal Growth Plate Fracture-Separations. In: Pediatric Orthopedic Deformities, Volume 1. Springer, Cham. https://doi.org/10.1007/978-3-319-20529-8_5

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