A 14-year-old is admitted to the emergency department with a fracture of the right humerus epiphyseal plate through the joint surface. What information does the nurse know regarding this type of fracture?
a. It will create difficulty because the child is left handed.
b. It will heal slowly because this is the weakest part of the bone.
c. This type of fracture requires different management to prevent bone growth complications.
d. This type of fracture necessitates complete immobilization of the shoulder for 4 to 6 weeks.
ANS: C
This type of fracture (Salter type III) can cause problems with growth in the affected limb. Early and complete assessment is essential to prevent angular deformities and longitudinal growth problems. The difficulty for the child does not depend on the location at the epiphyseal plate. Any fracture of the dominant arm presents obstacles for the individual. Healing is usually rapid in the epiphyseal plate area. Complete immobilization is not necessary. Often these injuries are surgically repaired with open reduction and internal fixation.
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