Complete physeal arrest, left proximal tibia digital illustration

Complete physeal arrest, left proximal tibia Save


ICD-10 code: M89.161

Disease category: M89.16: Physeal arrest, lower leg

Complete Physeal Arrest, Left Proximal Tibia

Complete physeal arrest refers to the complete closure or fusion of the growth plate in a bone, resulting in the cessation of longitudinal bone growth. In this case, we will focus on the condition known as complete physeal arrest in the left proximal tibia.

The proximal tibia is the upper part of the shinbone or tibia, which connects the knee joint to the lower leg muscles. When physeal arrest occurs in this region, it can lead to significant consequences for bone growth and development in children and adolescents.

Children with complete physeal arrest in the left proximal tibia may experience limb length discrepancy, deformity, and altered joint mechanics. The affected leg may appear shorter than the unaffected leg, leading to an uneven gait and potential issues with balance and mobility.

Diagnosis of complete physeal arrest in the left proximal tibia involves a thorough physical examination and radiographic imaging, such as X-rays or MRI scans. These diagnostic tools help evaluate the extent of the growth plate closure and determine the appropriate course of action.

To assist in the treatment planning, it is important to consider the patient's age, skeletal maturity, and overall health. Treatment options may include monitoring the condition over time, providing supportive measures like physical therapy to improve strength and mobility, or considering surgical interventions if necessary.

  1. Monitoring: In some cases, especially if the patient is close to skeletal maturity, the affected limb may be closely monitored to ensure there are no significant functional limitations or complications.
  2. Physical therapy: Rehabilitation exercises and physical therapy can help improve muscle strength, flexibility, and balance, which can mitigate some of the functional limitations associated with complete physeal arrest.
  3. Surgical interventions: In more severe cases, surgical procedures might be necessary to correct limb length discrepancy or deformities resulting from physeal arrest. These interventions may include limb lengthening procedures or corrective osteotomies.

It is important to note that the specific treatment approach will vary depending on the individual patient and the severity of the condition. Therefore, consultation with an orthopedic specialist is vital to determine the most appropriate management plan.

In conclusion, complete physeal arrest in the left proximal tibia can have a significant impact on bone growth and development in children. Early diagnosis, careful monitoring, physical therapy, and potential surgical interventions are essential components of managing this condition and improving the patient's quality of life.

Treatment of Complete physeal arrest, left proximal tibia:

Treatment Options for Complete Physeal Arrest, Left Proximal Tibia

Complete physeal arrest refers to the complete cessation of growth plate activity in a bone, leading to potential limb length discrepancy and other complications. When it occurs in the left proximal tibia, appropriate treatment options must be considered to address this condition effectively.

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