Salter-Harris Type IV physeal fracture of lower end of unspecified tibia digital illustration

Salter-Harris Type IV physeal fracture of lower end of unspecified tibia Save


ICD-10 code: S89.149

Chapter: Injury, poisoning and certain other consequences of external causes

Understanding Salter-Harris Type IV Physeal Fracture of Lower End of Unspecified Tibia

A Salter-Harris type IV physeal fracture of the lower end of the unspecified tibia is a rare injury that occurs in children. It involves a fracture that passes through the growth plate or physis of the tibia bone. The injury can result in growth disturbances and deformities in the affected limb if not treated promptly.

Salter-Harris type IV fractures are the result of compressive forces applied to the bone, which cause the growth plate to break away from the bone. In the case of the lower end of the tibia, this can happen due to a fall, sports injury, or any other type of trauma that causes a sharp twisting motion of the ankle joint.

The symptoms of a Salter-Harris type IV fracture of the lower end of the unspecified tibia include pain, swelling, and difficulty in bearing weight on the affected leg. In some cases, there may be visible deformities or a noticeable shortening of the leg.

Treatment

Early diagnosis and treatment are essential to prevent long-term complications. Treatment typically involves immobilizing the affected leg with a cast or brace for several weeks to allow the bone to heal. In some cases, surgery may be required to realign the broken bone fragments and stabilize the joint.

After the cast or brace is removed, physical therapy may be necessary to regain strength and mobility in the affected limb. It is important to follow the doctor's instructions and attend all follow-up appointments to ensure proper healing and prevent future complications.

Prevention

Preventing Salter-Harris type IV fractures of the lower end of the unspecified tibia involves taking precautions to avoid falls and other types of trauma to the ankle joint. This can include wearing appropriate footwear during sports activities, using protective equipment, and avoiding activities that put excessive stress on the joint.

  1. Wear appropriate footwear during sports activities
  2. Use protective equipment
  3. Avoid activities that put excessive stress on the ankle joint

In summary, a Salter-Harris type IV physeal fracture of the lower end of the unspecified tibia is a serious injury that requires prompt diagnosis and treatment. Early intervention can help prevent long-term complications and ensure a full recovery.