Salter–Harris fracture

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Salter–Harris fractures
Classification and external resources

An X-ray of the left ankle showing a Salter–Harris type III fracture of medial malleolus. Black arrow demonstrates fracture line while the white arrow marks the growth plate.
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Salter–Harris fractures
Classification and external resources

An X-ray of the left ankle showing a Salter–Harris type III fracture of medial malleolus. Black arrow demonstrates fracture line while the white arrow marks the growth plate.
eMedicineradio/613

A Salter–Harris fracture is a fracture that involves the epiphyseal plate or growth plate of a bone. It is a common injury found in children, occurring in 15% of childhood long bone fractures.[1]

Contents

Types

Salter Harris Fracture Types

There are nine types of Salter–Harris fractures; types I to V as described by Robert B Salter and W Robert Harris in 1963,[1] and the rarer types VI to IX which have been added subsequently:[2]

SALTER mnemonic for classification

The mnemonic "SALTR" can be used to help remember the first five types.[10][11][12] This mnemonic requires the reader to imagine the bones as long bones, with the epiphyses at the base.

(alternatively SALTER can be used for the first 6 types - as above but adding Type V: 'E' for Everything or Epiphysis and Type VI:'R' for Ring)

Salter–Harris fracture images

Salter–Harris fracture radiographs with insets showing fracture lines.
Salter–Harris I fracture of distal radius.  
Salter–Harris II fracture of ring finger proximal phalanx.  
Salter–Harris III fracture of big toe proximal phalanx.  
Salter–Harris IV fracture of big toe proximal phalanx.  

See also

References

External links