growth in length occurs at the epiphyseal plate in a long bone.
growth in length occurs at the epiphyseal plate in a long bone.
where does growth in length occur in a long bone?
the epiphyseal plate
epiphyseal plate









































the epiphyseal plate (or epiphysial plate, physis, or growth plate) is a hyaline cartilage plate in the metaphysis at each end of a long bone. it is the part of a long bone where new bone growth takes place; that is, the whole bone is alive, with maintenance remodeling throughout its existing bone tissue, but the growth plate is the place where the long bone grows longer (adds length).
epiphyseal plate
for those treated conservatively with immobilisation of long bone fractures, the incidence of fes is 22%. early operative fixation of long bone fractures can reduce the incidence of fes especially with the usage of internal fixation devices. patients undergoing urgent fixation of long bone fractures has a rate of 7% of acute respiratory distress syndrome (ards) when compared to those undergoing fixation after 24 hours (39% with ards). however, movement of the fracture ends of the long bones during the operative fixation can cause transient increase of fat emboli in the blood circulation. cytokines are persistently elevated if the long bone fractures is treated conservatively using immobilisation. the cytokine levels would return to normal after operative fixation. although ream nailing increases pressure in the medullary cavity of the long bones, it does not increase the rates of fes. other methods such as drilling of holes in the bony cortex, lavaging bone marrow prior to fixation, and the use of tourniquets to prevent embolisation have not been shown to reduce the rates of fes.
fat embolism syndrome