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Classification of Growth Plate Injuries The Salter and Harris classification of growth plate injuries is commonly used to describe injuries to the growth plate. The Salter 1 injury is a nondisplaced fracture. The x-ray is often normal, and according to traditional orthopedic teaching this can cause the examining practitioner to miss the diagnosis. The diagnosis should be based on clinical findings of point tenderness over the epiphyseal area.3 The typical treatment for type 1 epiphyseal injuries usually consists of immobilization and gradual return to play. Types 1 and 2 have excellent prognoses for prompt healing and no residual problems or growth disturbance. Types 3 and 4 require open reduction and internal fixation (surgery) and have a more guarded prognosis. Type 5 can go unrecognized and has the potential to lead to major growth disturbances.4 Because of the risk of injury to the epiphyseal growth plates, x-rays are more often utilized in young athletic injuries. Even what appears to be a mild ligament sprain, will probably be x-rayed to make sure a growth plate fracture has not occurred. The traditional orthopedic surgeon's recommendation for a young athlete with a normal x-ray and palpatory tenderness is rest. Rest is tremendously detrimental not only to the ligaments and tendons, but also to articular cartilage. Diminished weight-bearing has been shown to lead to degeneration of the articular cartilage.5 It appears that sufficient loading (weight-bearing) is necessary for maintaining healthy articular cartilage growth.6 Activity and cyclic loading are also necessary to maintain the biochemical and structural integrity of ligaments and tendons.7 Continue [ 1 | 2 | 3 | 4 | 5 | 6 ] |
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The information on this website is presented as information only and not a self-help guide. Never alter or change your health management or begin any new health plans without first consulting your personal health care provider. Some statements on this site regarding the value of nutritional supplements have not been evaluated by the FDA.
Prolotherapy may not be effective for every individual and there are risks involved, these risks should be discussed with your physician. Results achieved with some may not be typical of all. Please consult a physician.
There is no known cure for arthritis. Prolotherapy and nutritional supplements can help alleviate, reverse, or end arthritic pain by treating an underlying cause that contributes to degenerative disease, ligament laxity. Strengthening ligaments and other connective tissue can help prevent bone on bone arthritis from developing.
© 2011 Chicago Sports Medicine is part of Caring Medical & Rehabilitation Services Specializing in Chronic Pain Management and providing Prolotherapy in the Chicago area. For more info visit www.caringmedical.com. Learn More About: Alternatives to Knee Surgery, Cause of Knee Pain, Non Surgical Knee Pain Treatment and Chronic Knee Pain and Tendons. Also visit www.hauserdiet.com to optimize sports performance and www.benuts.com for Quality Natural Supplements. Find out more about Prolotherapy at www.prolotherapy.org. Subscribe to the Journal of Prolotherapy www.journalofprolotherapy.com.To learn more about Ross and Marion Hauser visit www.rosshauser.com and www.marionhauser.com.