Physeal_Plate_Injuries.pptx.558686858855

Physel plate injury

1. Physeal Plate Injuries Comprehensive Overview | 50 Slides (Postgraduate Orthopaedics)

2. Introduction Introduction – Definition of physis

3. Anatomy of physis (zones: reserve, proliferative, hypertrophic, calcified, ossification) Anatomy of physis (zones: reserve, proliferative, hypertrophic, calcified, ossification)

4. Physiology of growth plate Physiology of growth plate

5. Vascular supply to physis Vascular supply to physis

6. Contribution of growth plate to longitudinal growth Contribution of growth plate to longitudinal growth

7. Biomechanics of growth plate Biomechanics of growth plate

8. Vulnerability of physis to trauma Vulnerability of physis to trauma

9. Age incidence of physeal injuries Age incidence of physeal injuries

10. Common sites of involvement Common sites of involvement

11. Historical classifications of physeal injuries Historical classifications of physeal injuries

12. Salter-Harris classification Salter-Harris classification – overview

13. SH Type I SH Type I – description & radiograph example

14. SH Type II SH Type II – description & radiograph example

15. SH Type III SH Type III – description & radiograph example

16. SH Type IV SH Type IV – description & radiograph example

17. SH Type V SH Type V – description & radiograph example

18. Peterson’s modification Peterson’s modification

19. Ogden classification Ogden classification

20. Rang’s classification Rang’s classification

21. Mechanism of injury Mechanism of injury – shear, compression, avulsion

22. Pathophysiology of growth arrest Pathophysiology of growth arrest

23. Clinical features Clinical features – history & examination

24. Imaging modalities (X-ray, CT, MRI, USG) Imaging modalities (X-ray, CT, MRI, USG)

25. Radiological signs of physeal injuries Radiological signs of physeal injuries

26. SH type-specific radiology SH type-specific radiology

27. Role of MRI in occult injuries Role of MRI in occult injuries

28. Complications Complications – acute vs delayed

29. Growth disturbance & deformities Growth disturbance & deformities

30. Predicting growth potential (Moseley chart, Green-Anderson tables) Predicting growth potential (Moseley chart, Green-Anderson tables)

31. General principles of management General principles of management

32. Non-operative management Non-operative management – indications & techniques

33. Closed reduction Closed reduction – principles and precautions

34. Operative management Operative management – fixation methods

35. Kirschner wires Kirschner wires – role and technique

36. Cannulated screws Cannulated screws – indications

37. Plating across physis Plating across physis – controversies

38. Timing of surgery Timing of surgery

39. Role of arthroscopy in physeal injuries Role of arthroscopy in physeal injuries

40. Post-operative immobilization Post-operative immobilization

41. Physiotherapy & rehabilitation Physiotherapy & rehabilitation

42. Monitoring for growth arrest Monitoring for growth arrest

43. Treatment of partial growth arrest Treatment of partial growth arrest – bar excision

44. Guided growth techniques (8-plate, staples) Guided growth techniques (8-plate, staples)

45. Corrective osteotomies for deformities Corrective osteotomies for deformities

46. Prognosis Prognosis – based on type & site

47. Complications Complications – limb length discrepancy, angular deformities, arthritis

48. Prevention of growth disturbances Prevention of growth disturbances

49. Key learning points / Summary Key learning points / Summary

50. References (Turek, Rockwood, AO Principles, Recent articles) References (Turek, Rockwood, AO Principles, Recent articles)