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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

Megan Wilson

Radiology


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What are Salter Harris fractures?

  • Salter Harris fracture is a pediatric fracture involving the growth plate.

  • Most commonly involve ankle and wrist


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Physical exam findings

  • Edema

  • Limited range of motion in joint

  • Point tenderness over the growth plate


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Radiographs

  • Need AP and lateral that include the joints proximal and distal to point of injury

  • Comparison study of contra lateral limb


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Anatomy

  • Cartilaginous growth plate separates the epiphysis and metaphysis

Epiphysis

Metaphysis


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Type I

  • Widening of the growth plate

  • “Slipped epiphysis”


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Type II

  • Fracture of metaphysis

  • “Above the growth plate”


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Type III

  • Fracture of the epiphysis

  • “Lower than the growth plate”


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Type IV

  • Fracture of the metaphysis and epiphysis that communicate “Through the growth plate”


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Type V

  • Impaction of epiphysis into the diaphysis

  • “Raised epiphysis”


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Left

Right


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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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