Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature
Salter–Harris fractures may occur due to a single injury or repetitive stress fractures on the extremities. Type I to III fractures are managed medically, while types IV and V, which are rare, are treated surgically. In the pediatric population, Salter–Harris I fractures of the distal tibia are comm...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Medicines |
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| Online Access: | https://www.mdpi.com/2305-6320/9/10/50 |
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| author | Nnennaya U. Opara Emmanuella C. Osuala Ugochinyere I. Nwagbara |
| author_facet | Nnennaya U. Opara Emmanuella C. Osuala Ugochinyere I. Nwagbara |
| author_sort | Nnennaya U. Opara |
| collection | DOAJ |
| description | Salter–Harris fractures may occur due to a single injury or repetitive stress fractures on the extremities. Type I to III fractures are managed medically, while types IV and V, which are rare, are treated surgically. In the pediatric population, Salter–Harris I fractures of the distal tibia are commonly seen, and management of such fractures are well established in the literature. Despite the availability of a wide range of treatment for such fractures, osteonecrosis or avascular necrosis of the proximal femur can subsequently develop. Avascular necrosis is cell death secondary to metabolic disturbances, trauma, adverse effects of certain medications, or sickle cell disease. Avascular necrosis commonly affects the talus, humerus, or tibia in addition to the femoral head. Radiographic images are essential for prompt diagnosis and to minimize negative health outcomes in these patients. However, Salter–Harris I fracture in sickle cell patients can be very challenging due to these patients’ vulnerability to bone infections and sickle cell crisis. In this case report, our patient with a history of sickle cell disease and with a diagnosis of Salter–Harris I fracture was treated with surgical intervention as type V, which is discussed in this article, and responded well to treatment. Thus, this case suggests a new approach to managing Salter–Harris I fractures complicated with osteomyelitis in sickle cell patients. |
| first_indexed | 2024-03-09T19:50:16Z |
| format | Article |
| id | doaj.art-8a739cdd0e534636bee73c1fd5638d49 |
| institution | Directory Open Access Journal |
| issn | 2305-6320 |
| language | English |
| last_indexed | 2024-03-09T19:50:16Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicines |
| spelling | doaj.art-8a739cdd0e534636bee73c1fd5638d492023-11-24T01:12:23ZengMDPI AGMedicines2305-63202022-09-019105010.3390/medicines9100050Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of LiteratureNnennaya U. Opara0Emmanuella C. Osuala1Ugochinyere I. Nwagbara2Department of Emergency Medicine, Charleston Area Medical Center Institute for Academic Medicine, Charleston, WV 25304, USADepartment of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal Westville Campus, Durban 4000, South AfricaDepartment of Public Health Medicine, College of Health Sciences, University of KwaZulu-Natal, Howard Campus, Durban 4041, South AfricaSalter–Harris fractures may occur due to a single injury or repetitive stress fractures on the extremities. Type I to III fractures are managed medically, while types IV and V, which are rare, are treated surgically. In the pediatric population, Salter–Harris I fractures of the distal tibia are commonly seen, and management of such fractures are well established in the literature. Despite the availability of a wide range of treatment for such fractures, osteonecrosis or avascular necrosis of the proximal femur can subsequently develop. Avascular necrosis is cell death secondary to metabolic disturbances, trauma, adverse effects of certain medications, or sickle cell disease. Avascular necrosis commonly affects the talus, humerus, or tibia in addition to the femoral head. Radiographic images are essential for prompt diagnosis and to minimize negative health outcomes in these patients. However, Salter–Harris I fracture in sickle cell patients can be very challenging due to these patients’ vulnerability to bone infections and sickle cell crisis. In this case report, our patient with a history of sickle cell disease and with a diagnosis of Salter–Harris I fracture was treated with surgical intervention as type V, which is discussed in this article, and responded well to treatment. Thus, this case suggests a new approach to managing Salter–Harris I fractures complicated with osteomyelitis in sickle cell patients.https://www.mdpi.com/2305-6320/9/10/50Salter–Harris typesickle-cell diseaseosteomyelitisfracture |
| spellingShingle | Nnennaya U. Opara Emmanuella C. Osuala Ugochinyere I. Nwagbara Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature Medicines Salter–Harris type sickle-cell disease osteomyelitis fracture |
| title | Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature |
| title_full | Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature |
| title_fullStr | Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature |
| title_full_unstemmed | Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature |
| title_short | Management of Salter–Harris Type 1 Fracture Complicated with Osteomyelitis in a Sickle Cell Disease Patient: A Case Report and Review of Literature |
| title_sort | management of salter harris type 1 fracture complicated with osteomyelitis in a sickle cell disease patient a case report and review of literature |
| topic | Salter–Harris type sickle-cell disease osteomyelitis fracture |
| url | https://www.mdpi.com/2305-6320/9/10/50 |
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