![]() Peterson in 1994 proposed a classification that included two new physeal fracture types and injuries of the Salter-Harris system under different enumeration. He created more types and subtypes of injury patterns presenting a more extensive classification scheme that also included nonphyseal fractures as well as fractures complicated by localized damage to the growth plate leading to growth deformity. Ogden in 1981 presented a new classification scheme partially based on the Salter-Harris system. It is based on the radiographic detection of the fracture line it is practical and most suited for treatment planning. ![]() Sports Med Arthrosc Rev 24(4):178-183.The most popular classification for pediatric physeal fractures was proposed by Salter and Harris in 1963. Unique Issues in the Rehabilitation of the Pediatric and Adolescent Athlete After Musculoskeletal Injury. Overview of surgical scar prevention and management. Weight-bearing recommendations after operative fracture treatment-fact or fiction? Gait results with and feasibility of a dynamic, continuous pedobarography insole. Int J Sports Phys Ther 10(6):760–786.īraun BJ, Veith NT, Rollmann M, et al. Physeal injuries in children's and youth sports: reasons for concern?. Int J Sports Phys Ther 7(6):691–704.Ĭaine D, DiFiori J, Maffulli N. Recognition and management of traumatic sports injuries in the skeletally immature athlete. What is the best treatment for displaced Salter-Harris II physeal fractures of the distal tibia?. Park H, Lee DH, Han SH, Kim S, Eom NK, Kim HW. Ultrasound in the diagnosis of fractures in children. Hübner U, Schlicht W, Outzen S, Barthel M, Halsband H. Proximal Tibial Epiphysis Injury (Flexion Type, Salter-Harris Type 1). An aide-mémoire for the Salter-Harris classification of paediatric growth plate fractures. Type III Salter-Harris Fracture After an Onside Kick. Classifications In Brief: Salter-Harris Classification of Pediatric Physeal Fractures. Treasure Island (FL): StatPearls Publishing. Available from: Ĭepela DJ, Tartaglione JP, Dooley TP, Patel PN. A physical therapist can perform scar tissue massage and mobilization to improve the mobility of a scar. Scar tissue management: After surgery, scar tissue near the incision can sometimes cause pain and a restriction of motion.Foot orthotics may also be recommended if the foot position or gait is imbalanced. Balance and proprioception exercises may be prescribed. Gait: Gait training may be necessary to help improve your child's walking ability.They not only improve coordination and speed but also ensure that the healed bone can tolerate the significant forces and stresses that sports can cause. Strength: Strengthening exercises, like plyometric strengthening exercises, can be effective in restoring sports fitness.Flexibility exercises can help stretch tightened muscles and joints, while joint mobilization (a hands-on technique used to passively move joints) can help restore the range of motion. Range of motion: After a period of immobilization, the ability to move a joint may be limited.
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