Salter-Harris fractures

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prashanth Saddala M.B.B.S

Overview

Salter-Harris fractures are descriptive terms for fractures affecting the growth plate of a bone. Once bone growth has completed, the term "Salter-Harris Fracture" no longer applies.

Classification

There are six types of Salter-Harris fractures:[1]

  • Type I - A transverse fracture through the growth plate (also referred to as the "physis"):[2] 6% incidence
  • Type III - A fracture through growth plate and epiphysis, sparing the metaphysis:[4] 8% incidence
  • Type IV - A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis:[5] 10% incidence
  • Type V - A compression fracture of the growth plate (resulting in a decrease in the perceived space between the epiphysis and diaphysis on x-ray):[6] 1% incidence
  • Type VI - Injury to the peripheral portion of the physis and a resultant bony bridge formation which my produce an angular deformity. (Added in 1969 by Mercer Rang.)

References

  1. 00358 at CHORUS
  2. "S.H. Type I - Wheeless' Textbook of Orthopaedics".
  3. "S.H. Type II - Wheeless' Textbook of Orthopaedics".
  4. "Salter Harris Type III Frx - Wheeless' Textbook of Orthopaedics".
  5. "Salter Harris: Type IV - Wheeless' Textbook of Orthopaedics".
  6. "Type V - Wheeless' Textbook of Orthopaedics".

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