SALTER HARRIS FRACTURES in CHILDREN Kyra Frost 11/12/19 Diagnostic Radiology RAD 4001 Dr. Kumaravel Salter-Harris Type II Fracture of distal radius. Case Discussion This is a typical example of a Salter Harris type II fracture, which is by far the most common growth plate fracture encountered. 1 About 15% of fractures of children involve the growth plate. Here is an example of a Salter-Harris fracture of the distal forearm as … These Salter-Harris fractures can be easily missed. Radiographic features RESULTS. Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR.. type I. slipped; 5-7%; fracture plane passes all the way through the growth plate, not involving bone Salter-Harris type IV fractures are relatively uncommon injuries that occur in children. Schematic drawing of the classification system for physeal fractures of the distal radius not included in the Salter-Harris system. It is a transverse fracture through the cartilage of the growth plate or physis. In many cases there is only minimal or no displacement. They are intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis. Finally, classification of any of the previous types complicated by asymmetric growth or premature physeal arrest was changed to a type 5 lesion. A Salter–Harris fracture is a fracture that involves the epiphyseal plate or growth plate of a bone, specifically the zone of provisional calcification. Salter-Harris type III fractures of the medial distal femoral physis--a fracture pattern related to the closure of the growth plate: report of 3 cases and discussion of pathogenesis. AP radiograph of tibia shows a fracture-dislocation of the tibial physis with a fracture through the metaphysis. Type I Salter-Harris fractures tend to occur in younger children (5). A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will … Salter-Harris 2 fracture of the distal femur with trapped periosteum. McGovern Medical School Clinical History salter harris type 2 left tibia • 10 year old previously healthy boy comes into the Ed with a one day history of pain, swelling, and inability to move his left ankle after falling while playing tag. The fracture through the growth plate is usually obscure and difficult to differentiate from normal variations of the growth plate. Introduction Injuries to the extremities of children frequently involve the physis, partially because the ligaments and joint capsule can be 5 times stronger than the growth plate. These fractures account for more than 60% of all elbow fractures in children (see Table). These fractures involve a crush injury of the physis secondary to compressive forces that involve all or part of the physis 1,2. Note the associated comminuted fracture of the distal fibula. More than 95% of supracondylar fractures are hyperextension type due to a fall on the outstretched hand. Not all fractures that extend to the growth plate are Salter-Harris fractures. Diagram depicting the 5 typical Salter Haris fractures, with a rough estimate of relative frequency. The Salter-Harris classification is a means of categorizing epiphyseal plate fractures and provides clues to their prognosis All such these fractures, by definition, involve or extend through the epiphyseal plate so that all such fractures occur in children Salter-Harris fractures affect the growth plate of bones in children. Salter-Harris type V fractures are very uncommon injuries that occur in children. Often, x-rays of a child with a type I growth plate fracture will appear normal. Classification. It is thus a form of child bone fracture.It is a common injury found in children, occurring in 15% of childhood long bone fractures. Salter-Harris Type II fracture of the left distal tibia. The Salter-Harris classification was proposed by Salter and Harris in 1963 1 and at the time of writing (June 2016) remains the most widely used system for describing physeal fractures.. The olecranon is pushed into the olecranon fossa causing the anterior humeral cortex to bend and eventually break. The Salter-Harris classification is a means of categorizing epiphyseal plate fractures and provides clues to their prognosis All such these fractures, by definition, involve or extend through the epiphyseal plate so that all such fractures occur in children before the epiphyseal plate closes And finally we tend not to look carefully at the epiphysis. There is a fracture that extends through the physis and into a portion of the metaphysis. Salter-Harris type I fractures are relatively uncommon injuries that occur in children.Salter-Harris fractures are injuries where a fracture of the metaphysis or epiphysis extends through the physis.