Salter-Harris Type II physeal fracture of lower end of unspecified femur, initial encounter for closed fracture Save

Salter-Harris Type II Physeal Fracture of the Lower End of the Unspecified Femur

A Salter-Harris Type II physeal fracture of the lower end of the femur refers to a specific type of fracture that occurs in the growth plate of the femur bone in children. This fracture is commonly seen in pediatric patients and is characterized by a break in the bone that extends through the growth plate.

During the initial encounter for a closed fracture, the primary focus is on assessing and diagnosing the injury. A comprehensive physical examination, along with imaging techniques such as X-rays, may be employed to determine the extent and severity of the fracture.

The Salter-Harris classification system categorizes physeal fractures into five types. Type II fractures involve a break through the growth plate and extend into the metaphysis, which is the wider part of the bone adjacent to the growth plate. In the case of a lower end femur fracture, the injury affects the growth plate located near the knee joint.

It is essential to promptly identify and classify physeal fractures to ensure appropriate management and prevent potential complications. Type II fractures have the potential to disrupt the normal growth pattern of the bone, leading to deformities or growth disturbances if not managed properly.

Symptoms and Diagnosis

The most common symptoms of a Salter-Harris Type II physeal fracture of the lower end of the femur include pain, swelling, and limited mobility in the knee area. If a fracture is suspected, a thorough examination and appropriate imaging studies are necessary to confirm the diagnosis.

1. Physical examination: A detailed examination of the knee joint, including palpation and range of motion assessment, can provide valuable information about the injury.
2. X-ray imaging: X-rays are commonly used to visualize and assess the fracture site. These images help determine the exact location and severity of the fracture and aid in selecting the most suitable treatment approach.

By accurately diagnosing the fracture, healthcare professionals can develop an appropriate treatment plan tailored to the individual patient's needs. Prompt and accurate diagnosis is crucial for ensuring the best possible outcome and minimizing long-term complications associated with physeal fractures.