metaphyseal fracture

Metaphyseal fractures are fractures that involve the metaphysis of tubular bones. They may occur in pediatric or adult patients.

Examples of metaphyseal fractures:

• adults
  • surgical neck of humerus fracture
  • distal radial fracture
  • transtrochanteric fracture
• children
  • distal radial buckle fracture

Not all metaphyseal fractures intersect the physis. Even if a fracture does extend to the physis, it does not make it a Salter-Harris fracture. Salter-Harris fractures are those which either traverse the physis or extend along the physis.

Differential diagnosis

It is also worth making the distinction between a metaphyseal fracture and a metaphyseal corner fracture. Metaphyseal corner fractures are highly suggestive of inflicted non-accidental injury.

Siehe auch:

• Battered-Child-Syndrom
• Fraktur der Darmbeinschaufel
• Malgaigne-Fraktur
• Sacrumfrakturen nach Denis
• straddle fracture