WHAT IS A Salter 1 fracture?
A Salter-Harris type I fracture refers to a fracture line that runs straight across the growth plate, involving the cartilage without affecting the bone. Type I may cause the epiphysis, or the rounded end of the bone, to separate from the rest of the bone.
What does Salter-Harris mean?
A Salter–Harris fracture is a fracture that involves the epiphyseal plate or growth plate of a bone, specifically the zone of provisional calcification. It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures.
How do Salter-Harris fractures occur?
Around one in three growth plate fractures are the result of sports participation. 4 These fractures tend to occur over time due to repetitive strain and, as such, can be considered stress fractures. Less commonly, trauma to a bone from a fall or motor vehicle accident can cause a Salter-Harris fracture.
Where do Salter-Harris fractures occur?
A Salter-Harris fracture is a fracture in the growth plate of a child’s bone. A growth plate is a layer of growing tissue close to the ends of a child’s bone.
What causes a Salter-Harris fracture?
Which Salter-Harris fracture affects growth?
Type V. The rarest form of Salter-Harris fracture, Type V happens when your child’s growth plate is compressed or crushed. Since this is a severe injury, it can lead to the hardening of the growth plate, leading to bone growth arrest.
Do Salter-Harris fractures only occur in children?
Physeal injuries are common among children and comprise 15% to 30% of all bony injuries. Salter-Harris fractures are described exclusively in children and do not occur in the well-developed bones of adults. In general, upper extremity injuries are more common than lower-extremity injuries.
What is a Salter Harris fracture?
A Salter-Harris I fracture is defined as a separation through the distal femoral physis with no involvement of either the metaphysis or the epiphysis. Salter-Harris II fractures are a separation through the distal femoral physis fracture exiting through the metaphysis.
What happened to Salter Harris?
Salter Harris (SH) 1 fracture of her distal femur after a hyper- extension injury on a trampoline (Figure 1). Popliteal and dis- tal pulses were present, and there was no neurological deficit. She was treated as per Advanced Trauma Life Support (ATLS) protocols and proceeded to theatre for urgent closed reduction and internal fixation (Figure 2).
What are the treatment options for nondisplaced Salter-Harris fracture?
Nondisplaced fractures may be treated in a cast but must be followed closely to assess any interval displacement. Reduction should only be performed up to 7 to 10 days after injury in order to avoid risk of further traumatic injury to the healing physis. Displaced Salter-Harris II fractures warrant closed or open reduction and pinning.
What is a distal femoral physeal fracture?
Distal Femoral Physeal Fractures are common fractures in the pediatric population that result from direct trauma in children with open physes. Diagnosis is confirmed with plain radiographs of the femur and knee.