Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion Save

Understanding Salter-Harris Type IV Physeal Fracture of Lower End of Humerus, Left Arm

A Salter-Harris Type IV physeal fracture of the lower end of the humerus is a rare type of fracture that occurs in children and adolescents. This type of fracture involves the epiphyseal (growth) plate of the lower end of the humerus bone in the left arm. The fracture is classified as Type IV because it involves both the epiphyseal plate and the metaphysis (the portion of the bone above the growth plate).

This type of fracture can be caused by a direct blow to the arm, a fall, or a twisting injury. Symptoms of a Salter-Harris Type IV physeal fracture of the lower end of the humerus include pain, swelling, and limited range of motion in the left arm. If left untreated, the fracture can lead to complications such as nonunion (failure of the bone to heal) and growth disturbances.

Subsequent encounter for fracture with nonunion refers to a follow-up visit to the doctor after the initial treatment for the fracture. During this visit, the doctor will evaluate the progress of the fracture and determine if any further treatment is necessary.

Diagnosis

Diagnosis of a Salter-Harris Type IV physeal fracture of the lower end of the humerus involves a physical examination of the arm, X-rays, and possibly other imaging studies such as an MRI or CT scan.

Treatment

The treatment for a Salter-Harris Type IV physeal fracture of the lower end of the humerus depends on the severity of the fracture. Treatment options include immobilization with a cast or brace, surgery to realign the bone fragments, and physical therapy to restore range of motion and strength.

1. Immobilization: A cast or brace may be used to immobilize the arm and allow the bone to heal. The cast or brace may need to be worn for several weeks.
2. Surgery: Surgery may be necessary if the bone fragments are displaced or if there is a risk of growth disturbances. During surgery, the bone fragments are realigned and held in place with pins, screws, or plates.
3. Physical therapy: Physical therapy may be recommended after the cast or brace is removed to help restore range of motion and strength in the arm.

Conclusion

A Salter-Harris Type IV physeal fracture of the lower end of the humerus can be a serious injury that requires prompt diagnosis and treatment. If you or your child experiences symptoms of this type of fracture, seek medical attention immediately. With proper treatment, most fractures will heal without complications.