The Hip: Preservation, Replacement and Revision Tracking Pixel
Duke Orthopaedics
presents
Wheeless' Textbook of Orthopaedics

S.H. Type II


- Discussion:
    - occurs after age 10;
    - mechanism: shear or avlusion with angular force;
    - cartilage failure on the tension side;
    - petaphyseal failure on the compression side;
    - w/ type II frxs, there is a division between epiphysis & metaphysis except for a flake of metaphyseal bone is carried w/ epiphysis, 
           (Thurston Holland sign)
    - healing is rapid, and growth is rarely disturbed;
    - note: Type II frx of distal femur and tibia may result in growth deformity



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, September 13, 2011 12:24 pm