Salter-Harris classification

Salter Harris
Fracture Types
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Salter Harris
IV fracture of big toe proximal phalanx
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Dislozierte
Aitken I Fraktur des distalen Radius
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Salter Harris
II fracture of ring finger proximal phalanx
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Salter-Harrys
II (bzw. Aitken I) Fraktur des distalen Radius bei einem 12-jährigen. Man erkennt den Versatz von Meta- zu Epiphyse (Seitaufnahme) und die radiovolare Fraktur der Metaphyse.
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Salter Harris
III fracture of big toe proximal phalanx
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Salter-Harris
classification • Salter-Harris type II fracture - fifth finger - Ganzer Fall bei Radiopaedia
Rasuli B, Salter-Harris type II fracture - fifth finger. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-83423 • CC by-nc-sa 3.0 (modified)
Salter Harris
I fracture of distal radius
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Salter-Harris
classification • Salter-Harris type 1 fracture - finger - Ganzer Fall bei Radiopaedia
Dixon A, Salter-Harris type 1 fracture - finger. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-30373 • CC by-nc-sa 3.0 (modified)
Salter-Harris
classification • Salter-Harris type III fracture of distal tibia with comminuted talus fracture - Ganzer Fall bei Radiopaedia
Mistry K, Salter-Harris type III fracture of distal tibia with comminuted talus fracture. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-34904 • CC by-nc-sa 3.0 (modified)
Salter-Harris
classification • Salter-Harris type II wrist growth plate injury - Ganzer Fall bei Radiopaedia
Benoudina S, Salter-Harris type II wrist growth plate injury. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-43162 • CC by-nc-sa 3.0 (modified)
Salter-Harris
classification • Salter-Harris type IV fracture of distal tibia - Ganzer Fall bei Radiopaedia
Lazic S, Salter-Harris type IV fracture of distal tibia. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-51225 • CC by-nc-sa 3.0 (modified)
Salter-Harris
classification • Salter-Harris fracture of apophysis - Ganzer Fall bei Radiopaedia
Bell D, Salter-Harris fracture of apophysis. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-71997 • CC by-nc-sa 3.0 (modified)
Salter-Harris
classification • Salter Harris 4 fracture of index finger middle phalanx - Ganzer Fall bei Radiopaedia
Hacking C, Salter Harris 4 fracture of index finger middle phalanx. Case study, Radiopaedia.org (Accessed on 18 Jul 2023) https://doi.org/10.53347/rID-84964 • CC by-nc-sa 3.0 (modified)
Einteilung
der Epiphysenfugenfrakturen nach Salter-Harrys und nach Aitken
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The Salter-Harris classification was proposed by Salter and Harris in 1963  and at the time of writing (June 2016) remains the most widely used system for describing physeal fractures.

Classification

Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR.

  • type I
    • slipped
    • 5-7%
    • fracture plane passes all the way through the growth plate, not involving bone
    • cannot occur if the growth plate is fused
    • good prognosis
  • type II
    • above
    • ~75% (by far the most common)
    • fracture passes across most of the growth plate and up through the metaphysis
    • good prognosis
  • type III
    • lower
    • 7-10%
    • fracture plane passes some distance along with the growth plate and down through the epiphysis
    • poorer prognosis as the proliferative and reserve zones are interrupted
  • type IV
    • through or transverse or together
    • intra-articular
    • 10%
    • fracture plane passes directly through the metaphysis, growth plate and down through the epiphysis
    • poor prognosis as the proliferative and reserve zones are interrupted
  • type V
    • ruined or rammed
    • uncommon <1%
    • crushing type injury does not displace the growth plate but damages it by direct compression
    • worst prognosis
Others

There are a few other rare types which you should probably never include in a report as almost no one will know what you are talking about. Nonetheless, they are:

  • type VI:  injury to the perichondral structures
  • type VII: isolated injury to the epiphyseal plate
  • type VIII: isolated injury to the metaphysis, with a potential injury related to endochondral ossification
  • type IX: injury to the periosteum that may interfere with membranous growth
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Salter-Harris Klassifikation:
Aitken-Klassifikation
 
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triplanar
fracture
pediatricimaging.org • CC-by-nc-sa 4.0
Epiphysenlösung
 
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