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Growth plate fractures

Growth Plate Fractures | Omar Saleem, MD, MsPT

Dr. Omar Saleem is a specialized orthopedic surgeon and physical therapist with significant expertise in diagnosing and treating growth plate fractures (also known as physeal fractures). These fractures occur in children and adolescents when the growth plates, the areas of developing tissue at the ends of long bones, are damaged. Dr. Saleem is dedicated to providing comprehensive care to ensure proper healing and minimize the risk of long-term complications.

Comprehensive Diagnosis

Dr. Saleem employs a detailed diagnostic approach to evaluate growth plate fractures:

  • Medical History and Physical Examination: Assessing symptoms such as pain, swelling, and reduced range of motion in the affected limb.
  • Imaging Studies: Utilizing X-rays to identify the fracture and determine its classification according to the Salter-Harris system, which grades the severity of the fracture based on its location relative to the growth plate.

Non-Surgical Treatment Options

For many growth plate fractures, particularly those classified as non-displaced or minimally displaced, Dr. Saleem emphasizes non-surgical treatment methods:

  • Immobilization: Using casts or splints to stabilize the fracture and allow for proper healing, usually for a period of 4 to 8 weeks, depending on the fracture’s severity.
  • Pain Management: Prescribing medications to manage pain and reduce inflammation during the healing process.
  • Monitoring: Regular follow-up visits to assess healing progress through physical examinations and repeat imaging.

Surgical Treatment Options

In cases where the growth plate fracture is displaced or significantly affects the bone’s alignment, Dr. Saleem may recommend surgical intervention:

  • Reduction: Realigning the fractured bone segments to ensure proper positioning and function.
  • Internal Fixation: Using screws, pins, or plates to stabilize the fracture, particularly for more complex cases that may require precise alignment for optimal growth and development.
  • Post-Operative Care: Providing follow-up assessments and rehabilitation plans to promote recovery and restore function.

Holistic Care and Long-Term Management

Dr. Saleem takes a holistic approach to managing growth plate fractures, focusing on long-term health and development:

  • Rehabilitation: Collaborating with physical therapists to develop tailored rehabilitation programs that enhance strength, mobility, and functional recovery after immobilization or surgery.
  • Education: Informing patients and their families about the importance of follow-up care and monitoring growth plate status, as untreated or improperly healed fractures can lead to growth disturbances or deformities.
  • Prevention: Offering guidance on safe activity levels and injury prevention strategies, particularly for young athletes involved in sports.