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Pediatrics | Physeal Considerations

The Orthobullets Podcast

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The Salter Harris Classification of Injury to the Physis

The secondary spongiosa is involved in the setting of renal slipped capital femoral epiphesis or skiffy. It's also responsible for external remodeling, otherwise known as funnelization. The treatment of a growth arrest includes bar resection with interposition, or ipsilateral completion of the growth arrest. Indications for an ipsilateral conclusion include less than 50% phicile involvement and greater than two years or two centimeters of growth remaining.

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