Van Nispen Christiaan, Bridwell Rachel E, Fernandes Joel J, Long Brit
Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, USA.
Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord, USA.
Cureus. 2023 May 7;15(5):e38679. doi: 10.7759/cureus.38679. eCollection 2023 May.
High-grade physeal fractures, such as Salter-Harris types III, IV, and V fractures, are rare pediatric injuries observed disproportionately in teenage males. Such fractures are at high risk for complications such as growth retardation and arrest, arthrofibrosis, and post-traumatic arthritis. Consultation with the orthopedic specialist is imperative to ensure appropriate imaging, management, and potential transfer to a pediatric specialty hospital. The authors present a case of a 15-year-old male who sustained a Salter-Harris IV fracture of the distal femur extending from the intercondylar notch to the metadiaphysis from a motocross accident.
高位骨骺骨折，如Salter-Harris III型、IV型和V型骨折，是罕见的儿科损伤，在青少年男性中更为常见。此类骨折发生生长发育迟缓与停滞、关节纤维性变和创伤后关节炎等并发症的风险很高。必须咨询骨科专家，以确保进行适当的影像学检查、治疗，并可能转至儿科专科医院。作者报告了一例15岁男性病例，该患者因摩托车越野事故导致股骨远端Salter-Harris IV型骨折，骨折线从髁间切迹延伸至干骺端。
