Salter-Harris Fracture

  • Etiology: trauma
  • Imaging: fracture appearance acronym in relation to growth plate is SALTR – I = Slipped, II = Above (into metaphysis), III = BeLow (into epiphysis), IV = Through, V = Rammed
    — Type I is fracture through physis
    — Type II is fracture through physis and metaphysis
    — Type III is fracture through physis and epiphysis
    — Type IV is fracture through epiphysis to metaphysis
    — Type V is crush fracture to physis
  • Complications: in Types III / IV / V can see bony bridge forming across growth plate during healing leading to premature fusion of growth plate and length discrepancy

Cases of Salter-Harris Fracture