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Salter Harris Fractures

Salter Harris Fractures. Megan Wilson Radiology. What are Salter Harris fractures?. Salter Harris fracture is a pediatric fracture involving the growth plate. Most commonly involve ankle and wrist. Physical exam findings. Edema Limited range of motion in joint

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Salter Harris Fractures

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  1. Salter Harris Fractures Megan Wilson Radiology

  2. What are Salter Harris fractures? • Salter Harris fracture is a pediatric fracture involving the growth plate. • Most commonly involve ankle and wrist

  3. Physical exam findings • Edema • Limited range of motion in joint • Point tenderness over the growth plate

  4. Radiographs • Need AP and lateral that include the joints proximal and distal to point of injury • Comparison study of contra lateral limb

  5. Anatomy • Cartilaginous growth plate separates the epiphysis and metaphysis Epiphysis Metaphysis

  6. Type I • Widening of the growth plate • “Slipped epiphysis”

  7. Type II • Fracture of metaphysis • “Above the growth plate”

  8. Type III • Fracture of the epiphysis • “Lower than the growth plate”

  9. Type IV • Fracture of the metaphysis and epiphysis that communicate “Through the growth plate”

  10. Type V • Impaction of epiphysis into the diaphysis • “Raised epiphysis”

  11. Left Right

  12. S-A-L-T-R • "Slipped epiphysis". • "Above the growth plate" • "Lower than the growth plate". • "Through the growth plate". • "Raised epiphysis".

  13. Quiz

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