Salter-Harris fracture

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[edit] Discussion

  • Fractures through a growth plate (therefore they are unique to pediatric patients).
  • Several types of fractures have been categorized by the involvement of the physis, metaphysis, and epiphysis.
  • The classification of the injury is important because it affect the treatment of the patient and provides clues to possible long-term complications.


  • Type I - Fracture through the growth plate
  • Type II - Fracture through growth plate and metaphysis
  • Type III - Fracture through growth plate and epiphysis
  • Type IV - Fracture through growth plate, metaphysis, and epiphysis
  • Type V - Fracture due to compression through growth plate

[edit] Mnemonic

Modify Salter Harris to SALTR:

  • S – I – Slipped – separation physis
  • A – II – Above – metaphysis and physis
  • L – III – Lower – epiphysis and physis
  • T – IV – Through – metaphysis, physis, epiphysis
  • R – V – Ruined – crushed physis

[edit] Imaging Findings

  • As above

[edit] Images

[edit] Salter-Harris type I

Patient #1: Gymnast with chronic Salter-Harris I fracture.

[edit] Salter-Harris type II

Patient #1

[edit] Salter-Harris type III

Patient #1

[edit] Salter-Harris type IV

Patient #1

[edit] Salter-Harris type V

[edit] See Also

[edit] External Links

[edit] References