Orthopedics Book

Complications

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Epiphyseal Fracture

Aka: Epiphyseal Fracture, Growth Plate Fracture, Salter Fracture
  1. Epidemiology
    1. Epiphysis involved in 20% of pediatric Fractures
  2. Images
    1. OrthoFractureSalterHarris.jpg
  3. Mnemonic for Salter Fracture: SALTER
    1. Slip (Epiphysis separated from shaft)
    2. Above
    3. Low anatomic (Below)
    4. Together (Epiphysis and Metaphysis)
    5. Everything (Compressed)
    6. Round
  4. Salter-Harris classification
    1. Salter I
      1. Epiphysis separate from shaft and Metaphysis
        1. through the physis
      2. Most common in newborns and young children
      3. Prognosis excellent
    2. Salter II
      1. Like Type 1, through the physis with separation of
        1. physis from metaphysis, but with a small
        2. metaphysis triangle Fracture
      2. Most common overall Epiphyseal Fracture
      3. Prognosis excellent
        1. although joint instability is possible
    3. Salter III
      1. Intraarticular Fracture through epiphysis
      2. Uncommon
      3. ORIF is often necessary
      4. Make sure reduction is adequate!
    4. Salter IV
      1. Intraarticular: Through epiphysis, plate, metaphysis
      2. Poor prognosis, lost blood supply
      3. Needs perfect reduction
    5. Salter V
      1. Crushing of physis
      2. poor prognosis
      3. Early XRay negative
      4. Rarely occurs
    6. Salter VI (Rang)
      1. Portion of growth plate sheared off
      2. Penetrating injuries
      3. Rare

Epiphyseal fracture (C0476159)

Concepts Injury or Poisoning (T037)
SnomedCT 135895003, 116296005
English # involving epiphys plate, Fractures involving the epiphyseal plate, [Q] # involving epiphys plate, [Q] Fractures involving the epiphyseal plate, epiphyseal fracture, epiphyseal fractures, Epiphyseal fracture, Epiphyseal fracture (morphologic abnormality), Epiphysial fracture, Fracture of epiphysis, Epiphysial fracture (morphologic abnormality), Epiphyseal Fracture
Italian Frattura dell'epifisi
Japanese 骨端骨折, コッタンコッセツ
Czech Epifyzární zlomenina
Spanish fractura epifisaria (anomalía morfológica), fractura de la placa epifisaria, fractura de la placa epifisaria (anomalía morfológica), fractura de epífisis, fractura epifisaria, Fractura epifisaria
Hungarian Epiphysis törés
Portuguese Fractura epifiseal
Dutch epifysefractuur
French Fracture épiphysaire
German Epiphysaere Fraktur
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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