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Epiphyseal FractureAka: Growth Plate Fracture, Salter Fracture
- Epidemiology
- Epiphysis involved in 20% of pediatric Fractures
- Images
- Mnemonic for Salter Fracture: SALTER
- Slip (Epiphysis separated from shaft)
- Above
- Low anatomic (Below)
- Together (Epiphysis and Metaphysis)
- Everything (Compressed)
- Round
- Salter-Harris classification
- Salter I
- Epiphysis separate from shaft and Metaphysis
- through the physis
- Most common in newborns and young children
- Prognosis excellent
- Epiphysis separate from shaft and Metaphysis
- Salter II
- Salter III
- Intraarticular Fracture through epiphysis
- Uncommon
- ORIF is often necessary
- Make sure reduction is adequate!
- Salter IV
- Intraarticular: Through epiphysis, plate, metaphysis
- Poor prognosis, lost blood supply
- Needs perfect reduction
- Salter V
- Crushing of physis
- poor prognosis
- Early XRay negative
- Rarely occurs
- Salter VI (Rang)
- Portion of growth plate sheared off
- Penetrating injuries
- Rare
- Salter I
Epiphyseal fracture (C0476159) | |
|---|---|
| Concepts | Injury or Poisoning (T037) |
| English | Epiphyseal fracture, Epiphysial fracture, Fracture of epiphysis |
| Spanish | fractura de epifisis, fractura de la placa epifisaria, fractura epifisaria |
| Parent Concepts | Fracture (C0016658), Fracture configurations (C0449832), Duplicate concept (C1274013) |
| Sources | NCI, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
