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

Understanding Salter-Harris Type IV Physeal Fracture of the Upper End of Humerus

A Salter-Harris Type IV physeal fracture of the upper end of the humerus is a specific type of fracture that occurs in the growth plate of the upper arm bone. This injury is not limited to a specific arm and can happen in either arm. In this article, we will provide an overview of this fracture and discuss subsequent encounters for fractures with nonunion.

1. What is a Salter-Harris Type IV physeal fracture?

A Salter-Harris Type IV physeal fracture is characterized by a fracture through the growth plate, extending into the metaphysis and epiphysis. This fracture occurs in adolescents, typically during periods of rapid growth, when the growth plate is weaker than the surrounding bone.

2. How does a Salter-Harris Type IV physeal fracture occur?

These fractures usually result from a significant force or trauma to the upper arm, such as a fall or a direct blow. The growth plate, being the weakest part of the bone, is susceptible to injury.

3. What are subsequent encounters for fractures with nonunion?

Subsequent encounters for fractures with nonunion refer to medical visits or appointments that occur after the initial fracture, when the bones have failed to heal properly. Nonunion occurs when the fractured bones do not reunite within the expected timeframe.

1. During subsequent encounters, the healthcare provider will assess the nonunion and evaluate the progress of healing.
2. Imaging tests, such as X-rays or MRIs, may be ordered to determine the extent of the nonunion.
3. Based on the evaluation, the healthcare provider may recommend treatment options to promote bone healing, such as immobilization, physical therapy, or surgery.

In conclusion, a Salter-Harris Type IV physeal fracture of the upper end of the humerus is a specific type of growth plate fracture in the upper arm. Subsequent encounters for fractures with nonunion involve evaluating the progress of healing and determining appropriate treatment options. If you or someone you know has experienced this type of fracture, it is important to seek medical attention for proper evaluation and management.