Pattern and extent of traumatic epiphyseal injuries at Almadinah Almunawwarah

Abstract

Objectives: Epiphyseal plate is responsible for bone growth; hence, its preservation is vital for normal bone growth to occur. This study aimed to present the pattern of traumatic epiphyseal injury in a single regional hospital and list the most common causes of these injuries. Methods: This is a retrospective study, with a 1-year duration, started from October 30, 2017, using the hospital database of all admitted fracture cases for data collection at King Fahad Hospital, Almadinah Almunawwarah city, Saudi Arabia. Radiographs of all cases were reviewed. Epiphyseal injuries cases were included and classified using Salter–Harris (SH) classification. Results: The 1-year prevalence of epiphyseal injury in this project was 7.8% out of 770 fractures. Falls were the most commonly incurred type of injury. Humerus was the most common fractured bone (48.3%), followed by radius (10%). Type II SH fracture was the most frequent type observed. Fractured bones and type were significantly related to the mechanism of injury, whereas gender and type of fracture were significantly related to the age group in years. Conclusion: The 1-year prevalence of epiphyseal injuries in this study is moderately low. Falls were the most frequent mechanism of injury, and the humerus was the most commonly fractured bone, whereas SH Type II fracture was the most common morphology.