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

Understanding Salter-Harris Type IV Physeal Fracture of Lower End of Radius, Right Arm

A Salter-Harris Type IV physeal fracture of the lower end of the radius in the right arm refers to a specific type of fracture that involves the growth plate (physis) of the bone. This injury occurs at the end of the radius, which is one of the two bones in the forearm, specifically in the arm's right side.

When a patient undergoes a subsequent encounter for a fracture with nonunion, it means that they have already received initial treatment for the fracture, but the bone failed to heal properly, resulting in nonunion.

This type of fracture is typically seen in adolescents, as their growth plates are still open. It is crucial to diagnose and treat this condition promptly to prevent long-term complications and ensure proper bone growth.

Causes and Symptoms

The most common cause of a Salter-Harris Type IV physeal fracture is a direct blow to the wrist or forearm, often resulting from a fall or sports-related injury. The force applied to the bone can cause the growth plate to fracture and disrupt the normal bone development.

Patients with this fracture often experience pain, swelling, and limited range of motion in the affected arm. They may also notice visible deformities or abnormalities in the alignment of the wrist or forearm.

Diagnosis

Diagnosing a Salter-Harris Type IV physeal fracture involves a comprehensive examination of the patient's medical history, physical examination, and imaging tests. X-rays are commonly used to visualize the fracture and determine its severity.

1. The physician will review the patient's medical history and inquire about the circumstances leading to the injury.
2. During the physical examination, the doctor will assess the affected arm for tenderness, swelling, and any visible deformities.
3. X-rays will be taken to evaluate the fracture's location, displacement, and involvement of the growth plate.

Based on these findings, the physician will determine the appropriate course of treatment for the patient.

Conclusion

A Salter-Harris Type IV physeal fracture of the lower end of the radius in the right arm is a specific fracture that affects the growth plate in the forearm bone. Prompt diagnosis and treatment are essential to prevent complications and ensure proper bone growth. If you or someone you know experiences symptoms of this type of fracture, seeking medical attention is crucial.