Salter–Harris fracture

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    • Salter–Harris fracture
      • Salter–Harris fracture
      • a fracture that involves the epiphyseal plate or growth plate of a bone
      • It is a common injury found in children
      • It occur in 15% of childhood long bone fractures
      • Type I
      • transverse fracture through the growth plate (also referred to as the “physis”)
      • 6% incidence
      • Type II – (most common type) (MCQ)
      • A fracture through the growth plate and the metaphysis, sparing the epiphysis
      • 75% incidence
      • takes approximately 2–3 weeks to heal.
      • Type III –
      • A fracture through growth plate and epiphysis, sparing the metaphysis
      • 8% incidence
      • Type IV –
      • A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis(MCQ)
      • 10% incidence
      • Type V –
      • A compression fracture of the growth plate
      • result in a decrease in the perceived space between the epiphysis and diaphysis on x-ray
      • 1% incidence
      • The mnemonic “SALTER” (MCQ)
      • I – S = Slip
        • separated or straight across
        • Fracture of the cartilage of the physis (growth plate)
      • II – A = Above.
        • The fracture lies above the physis, or Away from the joint.
      • III – L = Lower.
        • The fracture is below the physis in the epiphysis.
      • IV – TE = Through Everything.
        • The fracture is through the metaphysis, physis, and epiphysis.
      • V – R = Rammed (crushed).
        • The physis has been crushed.
      • The higher the classification, the more severe the injury.
      • The incidence of growth disturbance is common in types III, IV and V(MCQ)


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