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Salter Harris Fractures. Megan Wilson Radiology. What are Salter Harris fractures?. Salter Harris fracture is a pediatric fracture involving the growth plate. Most commonly involve ankle and wrist. Physical exam findings. Edema Limited range of motion in joint

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salter harris fractures

Salter Harris Fractures

Megan Wilson

Radiology

what are salter harris fractures
What are Salter Harris fractures?
  • Salter Harris fracture is a pediatric fracture involving the growth plate.
  • Most commonly involve ankle and wrist
physical exam findings
Physical exam findings
  • Edema
  • Limited range of motion in joint
  • Point tenderness over the growth plate
radiographs
Radiographs
  • Need AP and lateral that include the joints proximal and distal to point of injury
  • Comparison study of contra lateral limb
anatomy
Anatomy
  • Cartilaginous growth plate separates the epiphysis and metaphysis

Epiphysis

Metaphysis

type i
Type I
  • Widening of the growth plate
  • “Slipped epiphysis”
type ii
Type II
  • Fracture of metaphysis
  • “Above the growth plate”
type iii
Type III
  • Fracture of the epiphysis
  • “Lower than the growth plate”
type iv
Type IV
  • Fracture of the metaphysis and epiphysis that communicate “Through the growth plate”
type v
Type V
  • Impaction of epiphysis into the diaphysis
  • “Raised epiphysis”
slide16

Left

Right

s a l t r
S-A-L-T-R
  • "Slipped epiphysis".
  • "Above the growth plate"
  • "Lower than the growth plate".
  • "Through the growth plate".
  • "Raised epiphysis".
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