Salter-Harris fractures: Difference between revisions
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{{CMG}}; {{AE}}[[User: Prashanthsaddala|Prashanth Saddala M.B.B.S]] | |||
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== | ==Overview== | ||
Salter-Harris fractures are descriptive terms for [[bone fracture|fracture]]s affecting the [[growth plate]] of a bone. Once bone growth has completed, the term "Salter-Harris Fracture" no longer applies. | |||
==Classification== | |||
There are six types of Salter-Harris fractures:<ref>{{Chorus|00358}}</ref> | There are six types of Salter-Harris fractures:<ref>{{Chorus|00358}}</ref> | ||
* Type I - A transverse fracture through the [[growth plate]] (also referred to as the "physis")<ref>http://www.wheelessonline.com/ortho/sh_type_i</ref> | * Type I - A transverse fracture through the [[growth plate]] (also referred to as the "physis"):<ref name="urlS.H. Type I - Wheeless Textbook of Orthopaedics">{{cite web |url=http://www.wheelessonline.com/ortho/sh_type_i |title=S.H. Type I - Wheeless' Textbook of Orthopaedics |format= |work= |accessdate=}}</ref> 6% incidence | ||
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* Type II - A fracture through the growth plate and the [[metaphysis]], sparing the [[epiphysis]]:<ref name="urlS.H. Type II - Wheeless Textbook of Orthopaedics">{{cite web |url=http://www.wheelessonline.com/ortho/sh_type_ii |title=S.H. Type II - Wheeless' Textbook of Orthopaedics |format= |work= |accessdate=}}</ref> 75% incidence | |||
* Type II - A fracture through the growth plate and the [[metaphysis]], sparing the [[epiphysis]]:<ref>http://www.wheelessonline.com/ortho/sh_type_ii</ref> 75% incidence | |||
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* Type III - A fracture through growth plate and epiphysis, sparing the metaphysis:<ref>http://www.wheelessonline.com/ortho/salter_harris_type_iii_frx</ref> 8% incidence | * Type III - A fracture through growth plate and epiphysis, sparing the metaphysis:<ref name="urlSalter Harris Type III Frx - Wheeless Textbook of Orthopaedics">{{cite web |url=http://www.wheelessonline.com/ortho/salter_harris_type_iii_frx |title=Salter Harris Type III Frx - Wheeless' Textbook of Orthopaedics |format= |work= |accessdate=}}</ref> 8% incidence | ||
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* Type IV - A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis:<ref>http://www.wheelessonline.com/ortho/salter_harris_type_iv</ref> 10% incidence | * Type IV - A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis:<ref name="urlSalter Harris: Type IV - Wheeless Textbook of Orthopaedics">{{cite web |url=http://www.wheelessonline.com/ortho/salter_harris_type_iv |title=Salter Harris: Type IV - Wheeless' Textbook of Orthopaedics |format= |work= |accessdate=}}</ref> 10% incidence | ||
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<gallery heights="175" widths="175"> | |||
Image:Salter-Harris-Type-IV-fracture-001.jpg|Salter-Harris fracture-IV <small>Image courtesy of RadsWiki and copylefted</small> | |||
Image:Salter-Harris-Type-IV-fracture-002.jpg|Salter-Harris fracture-IV <small>Image courtesy of RadsWiki and copylefted</small> | |||
Image:Salter-Harris-Type-IV-fracture-003.jpg|Salter-Harris fracture-IV <small>Image courtesy of RadsWiki and copylefted</small> | |||
</gallery> | |||
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* Type V - A compression fracture of the growth plate (resulting in a decrease in the perceived space between the epiphysis and diaphysis on x-ray):<ref>http://www.wheelessonline.com/ortho/type_v</ref> 1% incidence | * Type V - A compression fracture of the growth plate (resulting in a decrease in the perceived space between the epiphysis and diaphysis on x-ray):<ref name="urlType V - Wheeless Textbook of Orthopaedics">{{cite web |url=http://www.wheelessonline.com/ortho/type_v |title=Type V - Wheeless' Textbook of Orthopaedics |format= |work= |accessdate=}}</ref> 1% incidence | ||
* Type VI - Injury to the peripheral portion of the physis and a resultant bony bridge formation which my produce an angular deformity. (Added in 1969 by Mercer Rang.) | * Type VI - Injury to the peripheral portion of the physis and a resultant bony bridge formation which my produce an angular deformity. (Added in 1969 by Mercer Rang.) | ||
==References== | ==References== | ||
{{Reflist|2}} | |||
Latest revision as of 20:15, 11 March 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prashanth Saddala M.B.B.S
Overview
Salter-Harris fractures are descriptive terms for fractures affecting the growth plate of a bone. Once bone growth has completed, the term "Salter-Harris Fracture" no longer applies.
Classification
There are six types of Salter-Harris fractures:[1]
- Type I - A transverse fracture through the growth plate (also referred to as the "physis"):[2] 6% incidence
-
Salter-Harris fracture-I Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-I Image courtesy of RadsWiki and copylefted
- Type II - A fracture through the growth plate and the metaphysis, sparing the epiphysis:[3] 75% incidence
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Salter-Harris fracture-II Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-II Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-II Image courtesy of RadsWiki and copylefted
- Type III - A fracture through growth plate and epiphysis, sparing the metaphysis:[4] 8% incidence
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-III Image courtesy of RadsWiki and copylefted
- Type IV - A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis:[5] 10% incidence
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Salter-Harris fracture-IV Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-IV Image courtesy of RadsWiki and copylefted
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Salter-Harris fracture-IV Image courtesy of RadsWiki and copylefted
- Type V - A compression fracture of the growth plate (resulting in a decrease in the perceived space between the epiphysis and diaphysis on x-ray):[6] 1% incidence
- Type VI - Injury to the peripheral portion of the physis and a resultant bony bridge formation which my produce an angular deformity. (Added in 1969 by Mercer Rang.)
References
- ↑ Template:Chorus
- ↑ "S.H. Type I - Wheeless' Textbook of Orthopaedics".
- ↑ "S.H. Type II - Wheeless' Textbook of Orthopaedics".
- ↑ "Salter Harris Type III Frx - Wheeless' Textbook of Orthopaedics".
- ↑ "Salter Harris: Type IV - Wheeless' Textbook of Orthopaedics".
- ↑ "Type V - Wheeless' Textbook of Orthopaedics".