Salter-Harris Type II physeal fracture of unspecified calcaneus, initial encounter for closed fracture Save

Understanding Salter-Harris Type II Physeal Fracture of Unspecified Calcaneus

A Salter-Harris Type II physeal fracture of the calcaneus is a common injury among children and adolescents. This type of fracture occurs at the growth plate of the heel bone, known as the calcaneus, which is responsible for the bone's development and growth. The fracture is referred to as a closed fracture, indicating that the skin remains intact and there is no external wound.

When a child or adolescent experiences a Salter-Harris Type II physeal fracture of the calcaneus, it means that the fracture line extends through the growth plate and involves a portion of the bone. This type of injury is typically caused by a sudden twisting or direct impact to the heel, often during high-impact activities such as sports or accidents.

It is important to seek medical attention promptly after such an injury to ensure proper diagnosis and treatment. During the initial encounter for a closed fracture, the healthcare provider will conduct a thorough examination, which may include physical tests and imaging studies like X-rays or MRI scans to assess the extent of the fracture and the alignment of the bones.

Signs and Symptoms

1. Pain and tenderness at the back of the heel
2. Swelling and bruising around the affected area
3. Difficulty or inability to bear weight on the injured foot
4. Visible deformity or abnormal positioning of the foot

Treatment

While we won't discuss treatment options in this article, it is important to note that the appropriate course of action will depend on various factors, including the severity of the fracture, the age of the patient, and the potential for any long-term complications. Treatment options may include immobilization with a cast or splint, pain management, and possibly surgery in more severe cases.

Overall, a Salter-Harris Type II physeal fracture of the calcaneus is a significant injury that requires prompt medical attention. If you suspect your child or adolescent has sustained this type of fracture, it is crucial to consult a healthcare professional to ensure an accurate diagnosis and appropriate treatment plan.