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

Understanding Salter-Harris Type IV Physeal Fracture of the Upper End of Unspecified Tibia: Subsequent Encounter for Fracture with Nonunion

A Salter-Harris Type IV physeal fracture of the upper end of the unspecified tibia is a specific type of growth plate fracture that occurs in children and adolescents. This fracture involves the epiphyseal plate, which is the area of growing tissue located near the ends of long bones, and is typically caused by a direct injury.

During a subsequent encounter for a fracture with nonunion, medical professionals evaluate and manage the condition after an unsuccessful attempt at bone healing. Nonunion refers to the failure of the fractured bone to heal within the expected timeframe, leading to ongoing symptoms and impaired function.

1. Causes: Salter-Harris Type IV fractures are often the result of high-energy trauma, such as a sports injury or a fall from a significant height. These fractures may also occur in cases of child abuse or motor vehicle accidents.
2. Symptoms: Patients with this type of fracture may experience pain, swelling, tenderness, and difficulty bearing weight on the affected leg. Limited range of motion and deformity may also be present.
3. Diagnosis: To diagnose a Salter-Harris Type IV physeal fracture, a healthcare professional will perform a thorough physical examination and order imaging tests, such as X-rays or MRI scans, to assess the extent of the fracture and any potential complications.
4. Treatment: (Please note that this section will not be covered in this article.)
5. Complications: If left untreated or improperly managed, nonunion can lead to long-term consequences such as limb length discrepancy, deformity, joint dysfunction, and chronic pain.

It is crucial for individuals who have experienced a Salter-Harris Type IV physeal fracture of the upper end of the unspecified tibia to seek appropriate medical attention. Timely diagnosis and proper management, which may include surgical intervention, are essential to promote bone healing and prevent potential complications.

Always consult a healthcare professional for accurate diagnosis, treatment, and guidance regarding your specific condition.