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GROWTH ARREST IN LONG BONES AS RESULT OF FRACTURES THAT INCLUDE THE EPIPHYSIS

1935; American Medical Association; Volume: 105; Issue: 26 Linguagem: Inglês

10.1001/jama.1935.02760520020004

2376-8118

Edward L. Compere,

Bone fractures and treatments

The importance of the growth cartilage of the long bones has been emphasized by embryologists and anatomists, but the ease with which growth may be arrested as the result of infection that injures the cartilage plate or by direct violence, which may be produced by the surgeon who is careless in his operative approach or may be secondary to fractures or crushing injuries in the region of the ends of the long bones, is not always appreciated by those who are called on to treat the lesions of the extremities of growing children. Haas 1 has stated that trauma is the most frequent cause of disturbances of growth in bones. He further states that the greatest growth activity is localized in the cartilage columns on the metaphyseal side of the epiphyseal cartilage plate and that, after the destruction of this portion of the growth cartilage, length growth practically terminates. In