Salter-Harris Type II physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with malunion Save

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

A Salter-Harris Type II physeal fracture refers to a specific type of fracture that occurs in the growth plate of a bone. In this case, the fracture affects the lower end of the unspecified tibia, which is the larger of the two bones in the lower leg. A subsequent encounter for fracture with malunion refers to a follow-up visit after the initial fracture, where the bones have not healed properly and are misaligned.

When a Salter-Harris Type II physeal fracture occurs, it involves a break through the growth plate and extends into the bone. This type of fracture is commonly observed in children and adolescents because their bones are still growing. The growth plate, or physis, is a band of cartilage located at the end of long bones that allows for bone lengthening as the child grows.

The lower end of the tibia is particularly susceptible to this type of fracture due to its proximity to the ankle joint, where a significant amount of stress is placed during physical activities or accidents. It is important to note that the term "unspecified tibia" indicates that the exact location of the fracture within the lower end of the tibia is not specified in the medical documentation.

Signs and Symptoms

1. Swelling and tenderness around the lower leg area
2. Difficulty bearing weight on the affected leg
3. Pain that worsens with activity or movement
4. Visible deformity or misalignment of the leg

It is crucial to seek medical attention for a suspected physeal fracture as soon as possible. Delayed diagnosis or improper treatment can lead to long-term complications, such as growth disturbances or malunion, where the bones heal in an incorrect position.

If a malunion occurs, a subsequent encounter is necessary to assess the progress of the healing process and determine the appropriate course of action. Treatment options may include additional immobilization, physical therapy, or, in severe cases, surgical intervention.

Remember, the information provided here serves as a general overview and should not substitute professional medical advice. If you suspect a Salter-Harris Type II physeal fracture or malunion, consult a healthcare professional for an accurate diagnosis and appropriate treatment.