Journal of Musculoskeletal Trauma

Treatment of Peterson classification Type VI of Physeal Injury in Ankle Joint: 2 cases report: Byung Il Lim, Tai Seung Kim, Kuhn sung Whang, Il Hoon Sung; J Korean Soc Fract 2000;13(4):1061-1066. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.1061

Peterson classification type VI, which has been reported newly on physeal injury classification, is defined as partial missing of the metaphysis and epiphysis with a portion of the physis. It has not been reported in the Republic of Korea to our knowledge. Because this is an open fracture, immediate surgery is needed in all cases. Angular deformity and leg length discrepancy occurs as a result of the formation of the physeal bar. Additional reconstuctive operation, therefore, should be necessary. We report two cases of Peterson classification type VI, both cases were open fracture at the level of ankle joint owing to pedestrian traffic accident. In our experience, Peterson classification type VI required multiple operations because progression of angular deformity with growth, and must be followed up until maturity.

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Changes in Oxygen Saturation and Walk in Relation to Smoking and Types of Shoes
Jea-Cheol Park, Jong-Man Han, Woon-Soo Cho, Yong-Nam Kim
The Journal of Korean Physical Therapy.2015; 27(1): 55. CrossRef

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Distal Femoral Physeal Injury in Adolescence: Dong Bae Shin, Yong Jung Kim, Young Soo Lee, Jun Cheol Choi, Dong Eun Shin, Jun Shik Baek; J Korean Soc Fract 1999;12(4):1058-1064. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.1058

Abstract PDF: The purpose of this study was to evaluate the results of distal femoral physeal injury in adolescence after various treatment 5 which had been performed for the last 4 years. This study consisted of 9 distal femoral physeal fractures from August 1993 to May 1996. Average length of follow up was 21 months. We evaluated the functional status such as range of motion, instability, pain and sports activity. They showed no abnormalities. We also assessed the lateral distal femoral angle, mechanical axis deviation, femorotibial angle and leg length discrepancy using orthoradiogram. 4 Cases showed the lateral distal femoral angle differences(more than 5), 7 cases showed the mechanical axis differences(average : 11.8mm), 6 cases showed the remorotibial angle differences(average : 5.8) and 6 cases showed the leg length discrepancy(average : 4.6mm). So we carefully concluded that the adequacy of the reduction is the most important prognostic factor and there are some problems in radiological angle difference despite the anatomical reduction.

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Conservative Treatment of Moderately Displaced S-H type II Injury in Distal Radius : a Report of 5 Cases: Tai Seung Kim, Ye Soo Park, Duck Keun Kim, Jae Lim Cho; J Korean Soc Fract 1997;10(3):718-725. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.718

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Epiphyseal injury in children is most frequently developed in distal radius. Type II injury in Salter Harris classification is known to be most common. In most cases of Salter Harris type II injury, the conservative treatment such as closed reduction and cast immobilization is reported to be effective. However, in moderately displaced epiphyseal injury, repeated manipulation would give further damage to the epiphyseal plate and then results in premature closure of the epiphyseal plate and growth arrest. We experienced five cases of moderately displaced S-H type II injury of distal radius, which had been reduced immediately after injury by closed method at privatic clinic, but redisplaced. We did not try to get realignment because it had passed 6 to 14 days since fracture occurred. Rather, we thought maintaining of present position could be best. After the conservative treatment for five cases, we have evaluated follow up results over one year. The results were excellent. We hereby report it with literature review.

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Epiphyseal Fractures of the Distal Radius in the Children
Hui Taek Kim, Myung Soo Youn, Jong Seo Lee, Young Jun Choi, Yoon Jae Seong
Journal of the Korean Fracture Society.2008; 21(3): 225. CrossRef

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Wrist Injury in Juvenile Gymnasts: Choong Gil Lee, Jin Woo Kwon, Jae Hyum Park, Sang Hoon Lee, Wan Eup Kim, Eun Sik Shin; J Korean Soc Fract 1996;9(4):1125-1130. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1125

Abstract PDF: In the adolescent gymnasts, recent studios have shown that wrist is particularly vulnerable to chronic stress. In the immature skeleton, growth plate is especially vulnerable to acute or chronic trauma since the joint capsule and ligamentous structures are strong. The purpose of this study is to report the frequency, finding of radiologic abnormalities and the type of sports to cause wrist pain. The authors examined 26 adolescent gymnasts, 20 males and 6 females. The age range was 11 years 10 months to 17 years 5 months for males and 11 years 9 months to 34 years 4 months for females. The results were as follows; 1. The radiologic abnormalities were found in 23 cases(88%), 19 males and 4 females. 2. Wrist pain was most frequently csused by pommel horse exercise in males and by floor exercise in females. 3. Among 23 cases, 18 showed widening of distal radial growth plates and irregularities of the margins of the growth plate(15 cases were bilateral). Widening of distal ulna growth plates were combineti in six cases, ulna styloid process fracture in 3 cases and radial styloid process fracture in 1 case. 4. Among 23 cases, 5 cases showed widening of distal radial metaphysis and increased ulnar tilting.

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Clinical Analsis of the Salter-Harris Type II Epiphyseal Injury of the Distal Femur: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Goo Lyu, Soo Ill Han; J Korean Soc Fract 1990;3(2):189-196. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.189

Abstract PDF: Although most of distal femoral epiphyseal fracture is Salter-Harris type II, its prognosis is not uniformly good and poses several problems such as limb length discrepancy, varus or valgus angulation and limitation of knee motion. Authors experienced 9 cases of Salter-Harris type II distal femoral epiphyseal injuries who were treated at Kyoungpook National University Hospital from January, 1982 to June, 1987, All were foloowed for an average of two years and ten months (range, one to seven years) and analysed clinically. The results abtained were as follows. 1. 5 out of 9 cases between 16 and 18 years of age. 2. Significant limb length discrepancy beyond 2cm occurred in only 1 case, lengthening of 0.6cm in 2 cases and less than 1.0cm shortening in 6 cases. 3. Valgus angulation of 10 degress or less occurred in 5 cases and 20 degrees of valgus defromity in 1 case. Varus angulation of 5 degrees or less occurred in 2 cases and of 6 degrees in 1 case. 4. Limitation of knee motion was not observed in all cases. 5. Salter-Harris type II epiphyseal plate injuries does not always carry a good prognosis especially when involving the distal femoral epiphsis. It can bring about growth acceleration or deceleration and angular deformity. Early and anual follow-up until cessation of growth is mandatory.

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