Salter-Harris Type III physeal fracture of left calcaneus, sequela Save

Understanding Salter-Harris Type III Physeal Fracture of Left Calcaneus, Sequela

A Salter-Harris Type III physeal fracture of the left calcaneus is a specific type of fracture that occurs in the growth plate (physis) of the heel bone (calcaneus) in children. When left untreated or improperly managed, it can lead to long-term complications and sequelae.

1. Definition: A Salter-Harris Type III fracture involves a horizontal break through the growth plate and extends into the metaphysis, which is the part of the bone adjacent to the growth plate.

2. Cause: This type of fracture typically occurs due to a compressive force on the heel bone, such as a fall or direct trauma. Children and adolescents are more susceptible to this injury due to the developing nature of their growth plates.

3. Symptoms: Common signs and symptoms of a Salter-Harris Type III physeal fracture of the left calcaneus include pain, swelling, and difficulty walking or bearing weight on the affected foot. It is essential to seek medical attention promptly to prevent further complications.

4. Diagnosis: A thorough physical examination, including a history of the injury, may be conducted by a healthcare professional specializing in orthopedics. X-rays or other imaging tests may be ordered to confirm the diagnosis and assess the extent of the fracture.

5. Treatment: Please note that we will not cover treatment in this article. However, it is important to emphasize that immediate medical intervention is crucial for proper management of this fracture. Treatment options may include immobilization, casting, or surgical intervention, depending on the severity of the injury.

6. Sequela: If left untreated or improperly managed, a Salter-Harris Type III physeal fracture of the left calcaneus can lead to long-term complications. These may include growth disturbances, deformities, or chronic pain in the affected foot.

1. Growth Disturbances: The growth plate plays a crucial role in bone growth. Damage to the growth plate can result in uneven growth or premature closure, leading to limb length discrepancies or angular deformities.
2. Deformities: Improper alignment or healing of the fractured bone can result in deformities, such as varus (inward angulation) or valgus (outward angulation) alignment.
3. Chronic Pain: If the fracture is not appropriately managed, it may result in ongoing pain and discomfort, limiting the child's mobility and quality of life.

In conclusion, a Salter-Harris Type