eMedicine Specialties > Radiology > Pediatrics

Salter-Harris Fractures: Multimedia

Author: William Moore, MD, Staff Physician, Department of Radiology, State University of New York at Stony Brook University Medical Center
Coauthor(s): Thomas H Smith, MD, Associate Professor, Departments of Radiology and Pediatrics, State University of New York at Stony Brook
Contributor Information and Disclosures

Updated: Jul 27, 2009

Multimedia

Illustration of uninjured boneMedia file 1: Illustration of uninjured bone
Illustration of uninjured bone

Illustration of uninjured bone

Salter-Harris fracture type IMedia file 2: Salter-Harris fracture type I
Salter-Harris fracture type I

Salter-Harris fracture type I

Salter-Harris fracture type IIMedia file 3: Salter-Harris fracture type II
Salter-Harris fracture type II

Salter-Harris fracture type II

Salter-Harris fracture type IIIMedia file 4: Salter-Harris fracture type III
Salter-Harris fracture type III

Salter-Harris fracture type III

Salter-Harris fracture type IVMedia file 5: Salter-Harris fracture type IV
Salter-Harris fracture type IV

Salter-Harris fracture type IV

Salter-Harris fracture type VMedia file 6: Salter-Harris fracture type V
Salter-Harris fracture type V

Salter-Harris fracture type V

Salter-Harris type II fracture of the distal tibiaMedia file 7: Salter-Harris type II fracture of the distal tibia
Salter-Harris type II fracture of the distal tibia

Salter-Harris type II fracture of the distal tibia

Salter-Harris type III fracture of the distal tib...Media file 8: Salter-Harris type III fracture of the distal tibia
Salter-Harris type III fracture of the distal tib...

Salter-Harris type III fracture of the distal tibia

Salter-Harris type IV fracture of the distal tibiaMedia file 9: Salter-Harris type IV fracture of the distal tibia
Salter-Harris type IV fracture of the distal tibia

Salter-Harris type IV fracture of the distal tibia

Anteroposterior (AP) plain radiograph of the knee...Media file 10: Anteroposterior (AP) plain radiograph of the knee in a child with persistent knee pain after trauma. The radiographic findings appear normal.
Anteroposterior (AP) plain radiograph of the knee...

Anteroposterior (AP) plain radiograph of the knee in a child with persistent knee pain after trauma. The radiographic findings appear normal.

Lateral view obtained in the same patient as in I...Media file 11: Lateral view obtained in the same patient as in Image 10 shows only a joint effusion.
Lateral view obtained in the same patient as in I...

Lateral view obtained in the same patient as in Image 10 shows only a joint effusion.

Coronal MRI obtained several weeks after an initi...Media file 12: Coronal MRI obtained several weeks after an initial radiograph was obtained to assess ligamentous injury shows an unexpected finding of a Salter-Harris type III fracture.
Coronal MRI obtained several weeks after an initi...

Coronal MRI obtained several weeks after an initial radiograph was obtained to assess ligamentous injury shows an unexpected finding of a Salter-Harris type III fracture.

Sagittal MRI in the same patient as in Image 10Media file 13: Sagittal MRI in the same patient as in Image 10
Sagittal MRI in the same patient as in Image 10

Sagittal MRI in the same patient as in Image 10

More on Salter-Harris Fractures

Overview: Salter-Harris Fractures
Imaging: Salter-Harris Fractures
Multimedia: Salter-Harris Fractures
References
Further Reading

References

  1. Mubarak SJ, Kim JR, Edmonds EW, Pring ME, Bastrom TP. Classification of proximal tibial fractures in children. J Child Orthop. Mar 17 2009;[Medline].

  2. Cottalorda J, Béranger V, Louahem D, Camilleri JP, Launay F, Diméglio A, et al. Salter-Harris Type III and IV medial malleolar fractures: growth arrest: is it a fate? A retrospective study of 48 cases with open reduction. J Pediatr Orthop. Sep 2008;28(6):652-5. [Medline].

  3. Sabharwal S, Henry P, Behrens F. Two cases of missed Salter-Harris III coronal plane fracture of the lateral femoral condyle. Am J Orthop. Feb 2008;37(2):100-3. [Medline].

  4. McKissick RC, Gilley JS, DeLee JC. Salter-Harris type III fractures of the medial distal femoral physis--a fracture pattern related to the closure of the growth plate: report of 3 cases and discussion of pathogenesis. Am J Sports Med. Mar 2008;36(3):572-6. [Medline].

  5. Cox G, Thambapillay S, Templeton PA. Compartment syndrome with an isolated Salter Harris II fracture of the distal tibia. J Orthop Trauma. Feb 2008;22(2):148-50. [Medline].

  6. Brown JH, DeLuca SA. Growth plate injuries: Salter-Harris classification. Am Fam Physician. Oct 1992;46(4):1180-4. [Medline].

  7. Keret D, Mendez AA, Harcke HT, MacEwen GD. Type V physeal injury: a case report. J Pediatr Orthop. Jul-Aug 1990;10(4):545-8. [Medline].

  8. Rogers LF, Poznanski AK. Imaging of epiphyseal injuries. Radiology. May 1994;191(2):297-308. [Medline].

  9. Close BJ, Strouse PJ. MR of physeal fractures of the adolescent knee. Pediatr Radiol. Nov 2000;30(11):756-62. [Medline].

  10. Carey J, Spence L, Blickman H, Eustace S. MRI of pediatric growth plate injury: correlation with plain film radiographs and clinical outcome. Skeletal Radiol. May 1998;27(5):250-5. [Medline].

  11. Lohman M, Kivisaari A, Kallio P. Acute paediatric ankle trauma: MRI versus plain radiography. Skeletal Radiol. Sep 2001;30(9):504-11. [Medline].

  12. Petit P, Panuel M, Faure F. Acute fracture of the distal tibial physis: role of gradient-echo MR imaging versus plain film examination. AJR Am J Roentgenol. May 1996;166(5):1203-6. [Medline].

  13. Hubner U, Schlicht W, Outzen S, et al. Ultrasound in the diagnosis of fractures in children. J Bone Joint Surg Br. Nov 2000;82(8):1170-3. [Medline].

  14. Mac Nealy GA, Rogers LF, Hernandez R. Injuries of the distal tibial epiphysis: systematic radiographic evaluation. AJR Am J Roentgenol. Apr 1982;138(4):683-9. [Medline].

  15. Craig JG, Cramer KE, Cody DD. Premature partial closure and other deformities of the growth plate: MR imaging and three-dimensional modeling. Radiology. Mar 1999;210(3):835-43. [Medline].

Keywords

Salter-Harris fractures, growth plate fractures, pediatric fractures, physeal injuries, childhood fractures, Salter-Harris fractures type I, Salter-Harris fractures type II, Salter-Harris fractures type III, Salter-Harris fractures type IV, Salter-Harris fractures type V, Salter-Harris fractures type VI, Salter-Harris fractures type VII, Salter-Harris fractures type VIII, Salter-Harris fractures type IX

Contributor Information and Disclosures

Author

William Moore, MD, Staff Physician, Department of Radiology, State University of New York at Stony Brook University Medical Center
William Moore, MD is a member of the following medical societies: Association of University Radiologists and Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

Thomas H Smith, MD, Associate Professor, Departments of Radiology and Pediatrics, State University of New York at Stony Brook
Thomas H Smith, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Radiology, American Medical Association, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Beverly P Wood, MD, PhD, Professor Emerita, Departments of Radiology and Pediatrics, Division of Medical Education, Keck School of Medicine, University of Southern California; Professor of Clinical Radiology, Loma Linda University School of Medicine
Beverly P Wood, MD, PhD is a member of the following medical societies: American Academy of Pediatrics, American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Marta Hernanz-Schulman, MD, FAAP, Professor, Radiology, Radiological Sciences, and Pediatrics, Director, Department of Pediatric Radiology, Radiologist-in-Chief, Director, Department of Diagnostic Imaging, Vanderbilt University Medical Center, Vanderbilt Children's Hospital
Marta Hernanz-Schulman, MD, FAAP is a member of the following medical societies: American Institute of Ultrasound in Medicine and American Roentgen Ray Society
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.