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Introduction The growth plate, also known as the physis, is the cartilaginous portion at the ends of long bones where longitudinal growth of the bone takes place. This region of bone is characterized by high metabolic activity and is under the
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from a commercial party related directly or indirectly to the subject of this article. References 1. Peterson H . Proximal tibia . In: Peterson H , ed. Epiphiseal growth plate fractures . Berlin : Springer , 2007
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Clínica Alemana, Santiago, Chile
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Introduction Growth modulation (GM) by tethering part of the growth plate is a well-established and widely accepted technique for the correction of angular deformities in children. Gradual correction by temporary hemiepiphysiodesis with
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the physis (growth plate). Since then, it has evolved into a well-established treatment concept for correcting angular deformities of the lower limb in children ( 1 ). The concept is that by inhibiting a part of the growth plate, that part will grow
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, this does not adequately explain it, but abnormalities of the growth plate include decreased matrix deposition with impaired osteoblast function, hypertrophic chondrocytes, disordered growth plate cellular structure, and glycosaminoglycans accumulation
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stabilising interventions to those which respect the integrity of the growth plates. 3 A non-specific, non-contact trauma mechanism with a history of sudden ‘giving way’ or ‘locking’ under load in the stance phase, in combination with a movement of valgus
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complication is growth disturbances secondary to growth-plate injury ( 2 ). Most bone growth arises from the physis of the distal femur; thus, achieving a complete understanding of the anatomy, the mechanism of the injuries, and the most appropriate
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restraints and treatment of osteochondral fractures while avoiding injury to the growth plates. Lateral release or lengthening should be reserved for permanent dislocations with severe tightness of the retinaculum and should be avoided in hyperlax patients
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second and third toes. The malformation becomes more evident when the child reaches adolescence, and the growth plate closes permanently. In addition to an aesthetic deformity, it can present with pain due to transfer metatarsalgia and even alterations
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growth plate without involving the metaphysis or epiphysis, type II fractures extend through the physis and metaphysis, and type III fractures involve the physis and epiphysis. Type IV fractures involve the metaphysis, physis, and epiphysis, and type V
