Salter Harris: Type IV
- Discussion:
- may occur at any age
- rare in the hand
- type IV frx potentially interfere with normal growth;
- frx line crosses physis, separating a portion of metaphysis-physis-epiphysis
from the remaining metaphysis-physis-ephiphysis;
- if frx is displaced, ORIF is indicated;
- even w/ perfect reduction, growth is affected & prognosis is guarded;
Original Text by Clifford R. Wheeless, III, MD.
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