Salter–Harris fracture

Last Updated on by FRCEM Intermediate

Type I: Fracture plane passes all the way through the growth plate, not involving the bone
Type II : Fracture plane passes across most of the growth plate and up through the metaphysis
Type III : Fracture plane passes some distance along the growth plate and down through the epiphysis
Type IV : Fracture plane passes directly through the metaphysis, growth plate and down through the epiphysis
Type V :Crushing type injury does not displace the growth plate but damages it by direct compression

I – S = Slip (separated or straight across).
II – A = Above.
III – L = Lower.
IV – TE = Through Everything.
V – R = Rammed (crushed).


Complications
Growth plate arrest: The involvement of the epiphyseal plate may cause premature closing resulting in limb shortening and abnormal growth

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