Indirect violence, especially when exerted in such a way as to combine traction with torsion,-for example, when the foot is caught in the spokes of a carriage wheel,-is the commonest cause of epiphysial separation.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson
Pain and tenderness along the epiphysial line are valuable signs, particularly when the lesion is due to indirect or muscular violence and there is no bruising of soft parts.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson
After an epiphysial separation, the growth of the limb is sometimes, although not always, interfered with.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson