FRACTURE OF A PHALANX NEAR THE EPIPHYSIS

Juxta-epiphysial Fracture of the Terminal Phalanx

The purpose of this paper is to lay stress upon an injury which, although not uncommon, seems to be inadequately described. Consequently it is often improperly treated. In Bunnell (1964) there is an illustration of displaced epiphysis of the distal phalanx, but in treatment no differentiation is made from the more common open crushing injury. Watson-Jones (1956) classified the injury as one of ...

Avulsion fracture of the proximal tibial epiphysis.

Fractures of the tibia through the proximal epiphysis are rare. This injury usually results from severe direct or indirect force about the knee, and has not been described as resulting from a patellar tendon avulsion injury. Four patients presented with five avulsion fractures of the proximal tibial epiphysis. All were older adolescent males who had been engaged in jumping sports when the injur...

Fracture-separations of the Distal Tibial Epiphysis

Three cases of a rare complication ofSalter Type II fracture-separations of the distal tibial epiphysis are described. Interposition of the anterior tibial neurovascular bundle between the displaced epiphysis and the lower tibia prevented reduction and, in two patients, the blood supply to the foot was compromised. Open reduction and internal fixation resulted in a satisfactory outcome in each ...

Fracture-separation of the distal humeral epiphysis.

We have reviewed 12 cases of fracture-separation of the distal humeral epiphysis, three of which were initially misdiagnosed as fractures of the lateral condyle and one as an elbow dislocation. Cubitus varus deformity is as common after this fracture-separation as it is following supracondylar fracture, and is most common in children under two years of age. Closed reduction and simple immobilis...

Avulsion fracture of proximal phalanx 3rd finger