Case Discussion. 37, No. The text is well organized, well referenced, and easy to follow … . : Pronunciation / ˌ ɒ s t i. oʊ k ɒ n ˈ d r aɪ t ɪ s ˈ d ɪ s ɪ k æ n z / 4, EMC - Radiologie et imagerie médicale - Musculosquelettique - Neurologique - Maxillofaciale, Vol. 31, No. Osteochondritis dissecans; A large flap lesion in the femur head typical of late stage Osteochondritis dissecans. Shi DP(1), Zhu SC, Li Y, Zheng J. 2016 Mar. There have been many advances in the diagnosis and treatment of epiphyseal injuries in the 30 years since the publication of the landmark article by Drs Robert Salter and William Harris. A … {"url":"/signup-modal-props.json?lang=us\u0026email="}, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":46268,"mcqUrl":"https://radiopaedia.org/articles/physeal-fracture/questions/1696?lang=us"}. 12, Journal of the American Academy of Orthopaedic Surgeons, Vol. Check for errors and try again. Fractures tend to propagate along the weakest zone, which is the spongiosum. 4, Journal of Pediatric Orthopaedics, Vol. Fracture epiphyseal separation of the distal humerus Australasian Radiology, Vol. Y1 - 2006/8/1 . Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. 181, No. through or transverse or together; intra-articular; 10%; fracture plane passes directly through the metaphysis, growth plate and down through the epiphysis The fracture involves both the epiphyseal plate and the metaphysis. Browse Imaging techniques; MRI; Radiology Gallery; About VoxelX. The metaphyseal vascular loops arise from terminal branches of central nutrient and peripheral metaphyseal vessels and terminate just proximal to the ZPC , leaving the hypertrophic zone relatively avascular. Radiographic identification of the type and extent of epiphyseal injury may be difficult due to lack of ossified epiphyseal centers. 2, Journal of the American Academy of Physician Assistants, Vol. 4, American Journal of Roentgenology, Vol. Treatment is nearly always nonoperative in younger patients due to the remodeling potential of the proximal humerus. All of these chapters are constructed similarly for easy and quick retrieval of the required information. How To Use. What is GRAY Coin? 3, Seminars in Nuclear Medicine, Vol. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The main emphasis is on evaluation (diagnosis) and management (treatment). Clavicle plain films are often sufficient rather than full shoulder x-rays. 1, Journal of Pediatric Orthopedics, Vol. Browse Atlases; Bone age; Foreign material; Radiological signs; Imaging techniques. A (cloudy) periostal reaction around the mid shaft of metatarsal III, image of a stress fracture (a). The diagnosis may be made as an incidental finding on other x-rays such as a chest x-ray. Multiple classification systems followed, leading to the Salter and Harris system in 1963 which was based on radiographic appea… 1, 2 December 2004 | Journal of Perinatology, Vol. Author information: (1)Department of Radiology, Northwestern University Medical School, Chicago, Ill. 9, 9 August 2008 | Skeletal Radiology, Vol. Figure 16: AP and lateral view of a displaced lateral condyle fracture. Figure 3. 30, No. We report a case of a 13-year-old boy with three pathological fractures through a unicameral bone cyst with epiphyseal involvement in the proximal humerus. There have been many advances in the diagnosis and treatment of epiphyseal injuries in the 30 years since the publication of the landmark article by Drs Robert Salter and William Harris. 2004 | Journal of Ultrasound in Medicine, Vol growth disturbances, depending the... 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