Salter-Harris Type IV physeal fracture of phalanx of unspecified toe digital illustration

Salter-Harris Type IV physeal fracture of phalanx of unspecified toe Save

ICD-10 code: S99.249

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

Understanding Salter-Harris Type IV Physeal Fracture of Phalanx of Unspecified Toe

A Salter-Harris Type IV Physeal Fracture of the phalanx of an unspecified toe is a serious injury that occurs in children and adolescents. The phalanx is one of the small bones found in the toes, and the physis is the area of the bone where growth occurs. When this area is damaged, it can lead to growth disturbances and other complications.

Salter-Harris fractures are classified based on the level of injury to the physis. Type IV fractures occur when there is a fracture through the metaphysis, physis, and epiphysis. These fractures are rare, accounting for less than 5% of all physeal fractures. They are often the result of high-energy trauma, such as a sports injury or a car accident.

Symptoms of a Salter-Harris Type IV Physeal Fracture of Phalanx of Unspecified Toe

Some of the common symptoms of a Salter-Harris Type IV Physeal Fracture of the phalanx of an unspecified toe include:

  1. Pain and swelling in the affected toe and foot
  2. Difficulty bearing weight on the affected foot
  3. Deformity of the affected toe
  4. Tenderness and bruising around the affected area
  5. Limited range of motion in the affected toe

If your child experiences any of these symptoms, it's important to seek medical attention right away.

Treatment for a Salter-Harris Type IV Physeal Fracture of Phalanx of Unspecified Toe

The treatment for a Salter-Harris Type IV Physeal Fracture of the phalanx of an unspecified toe will depend on the severity of the injury. In some cases, the fracture may be treated with rest, ice, compression, and elevation (RICE) to reduce swelling and pain. In more severe cases, surgery may be necessary to realign the bones and promote proper healing.

Physical therapy may also be recommended to help your child regain strength and range of motion in the affected toe and foot. It's important to follow your doctor's instructions for treatment and recovery to ensure the best possible outcome for your child.

Preventing a Salter-Harris Type IV Physeal Fracture of Phalanx of Unspecified Toe

While some Salter-Harris Type IV Physeal Fractures may be unavoidable, there are steps that parents and coaches can take to reduce the risk of injury. These include:

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