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

Salter-Harris Type IV Physeal Fracture of Lower End of Humerus, Right Arm, Subsequent Encounter for Fracture with Nonunion

A Salter-Harris Type IV physeal fracture of the lower end of the humerus is a rare but serious injury that occurs in children and adolescents. This type of fracture involves the growth plate of the bone and can lead to complications such as growth disturbances and nonunion.

A subsequent encounter for fracture with nonunion means that the patient has experienced a failed attempt at healing the fracture and is seeking further medical attention to address the issue.

1. Causes: Salter-Harris Type IV physeal fractures are typically caused by a direct blow to the arm or a fall onto an outstretched hand. The force of the impact can cause the growth plate to compress and fracture.
2. Symptoms: Symptoms of this type of fracture include pain, swelling, and difficulty moving the arm. In some cases, there may also be a noticeable deformity or discoloration in the affected area.
3. Diagnosis: A doctor will typically use X-rays and other imaging tests to diagnose a Salter-Harris Type IV physeal fracture. They may also perform a physical exam to assess the range of motion and check for any signs of nerve or blood vessel damage.
4. Treatment: Treatment for this type of fracture typically involves immobilizing the arm with a cast or brace to allow the bone to heal. In some cases, surgery may be necessary to realign the bone fragments and promote healing.
5. Nonunion: Nonunion occurs when the fractured bone fails to heal properly, often due to a lack of blood supply or insufficient immobilization. This can lead to chronic pain, limited mobility, and other complications.

If you suspect that you or your child has a Salter-Harris Type IV physeal fracture of the lower end of the humerus, it is important to seek medical attention right away. Early diagnosis and treatment can help prevent complications such as nonunion and promote proper healing.