Salter-Harris Typ 2 Fraktur
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/1/2/5/4/8/7/Aitken-I-Fraktur_der_distalen_Tibia_11W_-_CR_und_CT_-_001_thumb.jpg)
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/9/0/8/7/9/Aitken_I-_Salter-Harris-_II_Fraktur_des_distalen_Radius_9M_-_CR_2_Ebenen_-_001_thumb.jpg)
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/8/1/da26c6c594b3c0ab8edb84280345f8_big_gallery_thumb.jpg)
Salter-Harris
classification • Ankle fracture - Salter-Harris type II - Ganzer Fall bei Radiopaedia
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Salter-Harris
classification • Salter-Harris fracture of apophysis - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/8/4/001_big_gallery_thumb.jpg)
Salter-Harris
classification • Salter-Harris type II fracture - fifth finger - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/5/0/0/1c4609aba55f5cf5138b99a92402d4_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture - proximal phalanx - Ganzer Fall bei Radiopaedia
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Salter-Harris
type II fracture • Salter-Harris type II radial head fracture - Ganzer Fall bei Radiopaedia
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Salter-Harris
type II fracture • Salter-Harris type II fracture - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/7/c62e891374e691a219e9fe3ec8fa0e_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture: proximal phalanx - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/6/ba9145df64887d1978ca4b1e8e5f8e_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture: finger - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/4/79ad8d18524efb76d565cff0634904_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture - wrist - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/5/e14b936c7ec5b4303e52d9027288f7_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture: proximal phalanx - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/3/df55aa80b74d18de673e63756c64d4_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/2/d890f6fc73f9448a5dc36e40b99098_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/1/dcf80512967440d6b0071b582c1012_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • 5th toe fracture - Salter-Harris type II - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/9/0/4a13a3eda98c360f2925819f5d5e38_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/4/7/0/60116d291d48e9ddcdf0a5990c951a_big_gallery_thumb.jpg)
Salter-Harris
classification • Salter-Harris illustrations - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/9/3/0/5/5/fracturesalterharrisii01mdtoefirststubbedtoe12yo_thumb.jpg)
School ager
who stubbed their first toe and now has pain there. AP (left) and lateral (right) radiographs of the first toe show soft tissue swelling around the toe and a small bone fragment in the center of the distal physis anteriorly.The diagnosis was a non-displaced Salter-Harris Type II fracture of the distal phalanx of the first toe.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/9/3/0/5/1/fractureepiphyseal04jaksaltherharrisiiradiuspln13yo_thumb.jpg)
Teenager with
wrist pain after a fall. Lateral radiograph of the wrist shows a fracture through the radial physis and extending up into the radial metaphysis.The diagnosis was a Salter-Harris Type II fracture of the radius.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/5/0/1/5a09ae8682c9e87f1efc1f4152caa036797765cf87ab487832b6dedced6b5eb0_big_gallery_thumb.jpg)
Salter-Harris
type II fracture • Salter-Harris type II fracture - Ganzer Fall bei Radiopaedia
Salter-Harris type II fractures are the most common type of physeal fractures that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will be left intact.
Epidemiology
Approximately 75% of physeal fractures will be a Salter-Harris type II with 33-50% occurring at the distal radius. Other common fracture sites are the distal tibia, distal fibula and, phalanges .
Radiographic features
In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries.
Plain radiograph
- fracture through the physis
- Thurston Holland fragment
- angulation, displacement and rotation may occur
Siehe auch:
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