Thursday 17 November 2016

Salter Harris Type III



Epiphyseal Fractures.

A 19 year old male was referred for a 3D CT, with pain in right knee after a road traffic accident.  What type of epiphyseal injury is present?

The Salter-Harris classification proposed by Salter and Harris is the most widely used system for describing physeal fractures can be remembered by the mnemonic: SALTR
  • Type 1
    • slipped
    • fracture plane passes all the way through the growth plate, not involving bone
    • cannot occur if the growth plate is fused
    • good prognosis
  • type II
    • Fracture line passes above
    • Most common
    • fracture passes across most of the growth plate and up through the metaphysis
    • good prognosis
  • type III
    • Fracture line passes lower
    • fracture plane passes some distance along the growth and down through the epiphysis
    • poorer prognosis
  • type IV
    • Fracture line passes through 
    • intra-articular
    • fracture plane passes directly through the metaphysics, growth plate and down through the epiphysis
    • poor prognosis 
  • type V
    • rammed
    • crushing type injury does not displace the growth plate but damages it by direct compression
    • worst prognosis

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