- 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
— Salter-Harris Type I is fracture through physis
— Salter-Harris Type II is fracture through physis and metaphysis
— Salter-Harris Type III is fracture through physis and epiphysis
— Salter-Harris Type IV is fracture through epiphysis to metaphysis
— Salter-Harris Type V is crush injury to physis - Complications: up to 10% of physeal fractures result in growth arrest requiring treatment
— Central bony bridges can cause longitudinal growth disturbances while peripheral bony bridges can result in angular deformities
— Bony bridges may begin forming 1-2 months after injury but may not become clinically or radiologically evident until years later during adolescent growth spurt so children at risk for bridge formation should be followed until skeletal maturity
— Radiographs: bony bridge may be directly visualized, indirectly you may see narrowing of physis / growth recovery lines / angular deformity / longitudinal growth restrictions - Clinical: 15-30% of pediatric fractures involve the physis
Radiology Cases of Salter-Harris Fracture
Radiology Cases of Salter-Harris Type I Fracture


Radiology Cases of Salter-Harris Type II Fracture


Radiology Cases of Salter-Harris Type III Fracture


Radiology Cases of Salter-Harris Type IV Fracture
