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Duke Orthopaedics
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Wheeless' Textbook of Orthopaedics

Salter Harris Classification of growth plate fractures


- See:
        - Bone Bridge
        - Distal Femoral Physeal Fractures
        - Epiphyseal Artery
        - Epiphyseal Plate
        - Humeral Physeal Injuries
        - Suprachondylar Fractures of the Humerus
        - Pediatric Tibial Fracture
        - Tillaux Fracture

- Growth-Plate Fractures
    - account for 15-20% of major long-bone frx & 34% of hand frx in childhood;
    - large majority of these frxs heal w/o any impairment of growth mechanism but some lead to clinically important shortening & angulation;
    - growth-plate frxs may lead to growth disorders due to destruction of epiphyseal circulation (inhibits physeal growth), or by formation of bone bridge
            to form across growth plate;
    - frx subtypes:
            - type I:
            - type II:
            - type III:
            - type IV:
            - type V:


Injuries involving the eiphyseal plate.    

Current Concepts Review: The Evaluation and Treatment of Partial Physeal Arrest.

Compartmental syndrome complicating Salter-Harris type II distal radius fracture.

Injuries of the epiphyseal plate.  

Experimental physeal fracture-separations treated with rigid internal fixation.

Early MR imaging of lower-extremity physeal fracture-separations: a preliminary report.

The guarded prognosis of physeal injury in paraplegic children

Physeal Fractures. Part 3. Classification.

Robert Bruce Salter, CC, MD, FRCSC 1924-2010



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, May 31, 2012 2:16 pm