Salter-Harris Fracture Imaging Questions & Answers

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

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

3. Podeszwa DA, Mubarak SJ. Physeal fractures of the distal tibia and fibula (Salter-Harris Type I, II, III, and IV fractures). J Pediatr Orthop. 2012 Jun. 32 Suppl 1:S62-8. [Medline].

4. Ho-Fung VM, Zapala MA, Lee EY. Musculoskeletal Traumatic Injuries in Children: Characteristic Imaging Findings and Mimickers. Radiol Clin North Am. 2017 Jul. 55 (4):785-802. [Medline].

5. Joeris A, Lutz N, Blumenthal A, Slongo T, Audigé L. The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF). Acta Orthop. 2017 Apr. 88 (2):129-132. [Medline].

6. Thornton MD, Della-Giustina K, Aronson PL. Emergency department evaluation and treatment of pediatric orthopedic injuries. Emerg Med Clin North Am. 2015 May. 33 (2):423-49. [Medline].

7. 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. 2008 Sep. 28(6):652-5. [Medline].

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

9. 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. 2008 Mar. 36(3):572-6. [Medline].

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

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

12. Abzug JM, Dua K, Sesko Bauer A, Cornwall R, Wyrick TO. Pediatric Phalanx Fractures. Instr Course Lect. 2017 Feb 15. 66:417-427. [Medline].

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

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

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

16. 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. 1996 May. 166(5):1203-6. [Medline].

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

18. Nenopoulos A, Beslikas T, Gigis I, Sayegh F, Christoforidis I, Hatzokos I. The role of CT in diagnosis and treatment of distal tibial fractures with intra-articular involvement in children. Injury. 2015 Nov. 46 (11):2177-80. [Medline].

19. Gufler H, Schulze CG, Wagner S, Baumbach L. MRI for occult physeal fracture detection in children and adolescents. Acta Radiol. 2013 May. 54 (4):467-72. [Medline].

20. Nenopoulos A, Beslikas T, Gigis I, Sayegh F, Christoforidis I, Hatzokos I. The role of CT in diagnosis and treatment of distal tibial fractures with intra-articular involvement in children. Injury. 2015 Nov. 46 (11):2177-80. [Medline].

21. Nguyen JC, Markhardt BK, Merrow AC, Dwek JR. Imaging of Pediatric Growth Plate Disturbances. Radiographics. 2017 Oct. 37 (6):1791-1812. [Medline]. [Full Text].

22. Boutis K, Plint A, Stimec J, Miller E, Babyn P, Schuh S, et al. Radiograph-Negative Lateral Ankle Injuries in Children: Occult Growth Plate Fracture or Sprain?. JAMA Pediatr. 2016 Jan. 170 (1):e154114. [Medline].

23. Thawrani D, Kuester V, Gabos PG, Kruse RW, Littleton AG, Rogers KJ, et al. Reliability and necessity of computerized tomography in distal tibial physeal injuries. J Pediatr Orthop. 2011. 31:745-750. [Medline]. [Full Text].

24. Taggart I, Voskoboynik N, Shah S, Liebmann O. ED point-of-care ultrasound in the diagnosis of ankle fractures in children. Am J Emerg Med. 2012. 30:1328. [Medline]. [Full Text].

25. Hofsli M, Torfing T, Al-Aubaidi Z. The proportion of distal fibula Salter-Harris type I epiphyseal fracture in the paediatric population with acute ankle injury: a prospective MRI study. J Pediatr Orthop B. 2016 Mar. 25 (2):126-32. [Medline].

26. Israni P, Panat M. Proximal Tibial Epiphysis Injury (Flexion Type, Salter-Harris Type 1). J Orthop Case Rep. 2016 Sep-Oct. 6 (4):62-65. [Medline].

27. Voizard P, Moore J, Leduc S, Nault ML. The heterogeneous management of pediatric ankle traumas: A retrospective descriptive study. Medicine (Baltimore). 2018 Jun. 97 (24):e11020. [Medline]. [Full Text].

28. Chen J, Abel MF, Fox MG. Imaging appearance of entrapped periosteum within a distal femoral Salter-Harris II fracture. Skeletal Radiol. 2015 Oct. 44 (10):1547-51. [Medline].

29. Park H, Lee DH, Han SH, Kim S, Eom NK, Kim HW. What is the best treatment for displaced Salter-Harris II physeal fractures of the distal tibia?. Acta Orthop. 2018 Feb. 89 (1):108-112. [Medline]. [Full Text].

30. Binkley A, Mehlman C, Freeh E. Salter-Harris II Ankle Fractures in Children: Does Fracture Pattern Matter?. J Orthop Trauma. 2019 Jan 8. [Medline].

31. Perugia D, Fabbri M, Guidi M, Lepri M, Masi V. Salter-Harris type III and IV displaced fracture of the hallux in young gymnasts: A series of four cases at 1-year follow-up. Injury. 2014 Dec. 45 Suppl 6:S39-42. [Medline].

32. Tiefenboeck TM, Binder H, Joestl J, Tiefenboeck MM, Boesmueller S, Krestan C, et al. Displaced juvenile Tillaux fractures : Surgical treatment and outcome. Wien Klin Wochenschr. 2017 Mar. 129 (5-6):169-175. [Medline].

33. Sharma B, Reddy IS, Meanock C. The adult Tillaux fracture: one not to miss. BMJ Case Rep. 2013 Jul 18. 2013:[Medline].

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

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

36. Boutis K, Plint A, Stimec J, Miller E, Babyn P, Schuh S, et al. Radiograph-Negative Lateral Ankle Injuries in Children: Occult Growth Plate Fracture or Sprain?. JAMA Pediatr. 2016 Jan. 170 (1):e154114. [Medline].

37. Beckmann NM, Crawford L. Salter-Harris I fracture of the distal humerus in a neonate: imaging appearance of radiographs, ultrasound, and arthrography. Radiol Case Rep. 2017 Sep. 12 (3):571-576. [Medline]. [Full Text].

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

39. Blackburn EW, Aronsson DD, Rubright JH, Lisle JW. Ankle fractures in children. J Bone Joint Surg Am. 2012 Jul 3. 94(13):1234-44. [Medline].

40. Wuerz TH, Gurd DP. Pediatric physeal ankle fracture. J Am Acad Orthop Surg. 2013 Apr. 21(4):234-44. [Medline].

41. Morris B, Mullen S, Schroeppel P, Vopat B. Open physeal fracture of the distal phalanx of the hallux. Am J Emerg Med. 2017 Jul. 35 (7):1035.e1-1035.e3. [Medline].

42. McKenna SM, Hamilton SW, Barker SL. Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared. J Investig Med High Impact Case Rep. 2013 Jul-Sep. 1 (3):2324709613500238. [Medline].

William H Moore, MD Associate Professor, Department of Radiology, Clinical Director, Radiology Information Technology, NYU Langone Medical Center

William H Moore, MD is a member of the following medical societies: Association of University Radiologists, Radiological Society of North America

Disclosure: Nothing to disclose.

Bernard D Coombs, MB, ChB, PhD Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand

Disclosure: Nothing to disclose.

Marta Hernanz-Schulman, MD, FAAP, FACR Professor, Radiology and Radiological Sciences, Professor of Pediatrics, Department of Radiology, Vice-Chair in Pediatrics, Medical Director, Diagnostic Imaging, Vanderbilt Children's Hospital

Marta Hernanz-Schulman, MD, FAAP, FACR is a member of the following medical societies: American Institute of Ultrasound in Medicine, American Roentgen Ray Society

Disclosure: Nothing to disclose.

Felix S Chew, MD, MBA, MEd Professor, Department of Radiology, Vice Chairman for Academic Innovation, Section Head of Musculoskeletal Radiology, University of Washington School of Medicine

Felix S Chew, MD, MBA, MEd is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America

Disclosure: Nothing to disclose.

Beverly P Wood, MD, MSEd, PhD Professor Emerita of Radiology and Pediatrics, Division of Medical Education, Keck School of Medicine, University of Southern California; Professor of Radiology, Loma Linda University School of Medicine

Beverly P Wood, MD, MSEd, PhD is a member of the following medical societies: American Academy of Pediatrics, Association of University Radiologists, American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, Society for Pediatric Radiology

Disclosure: Nothing to disclose.

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.

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