Salter-Harris fracture | definition of Salter-Harris fracture by Medical dictionary
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Salt·er-Har·ris frac·ture (sawl'tĕr-har'is frak'shŭr)
Classification of epiphysial fracture types 1-5.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
SALTER-HARRIS FRACTURE: I: Fracture Extends through the physis, separating the two segments; Common in infants
SALTER-HARRIS FRACTURE: II: Fracture starts though the physis and ends on the shaft, creating a displaced wedge
SALTER-HARRIS FRACTURE: III: The fracture line extends perpendicularly through the joint surface and then transversely across the physis, resulting in partial displacement of the segment. Growth of the involved physis may be compromised.
SALTER-HARRIS FRACTURE: IV: Similar to type III fracture, but the transverse line extends across the physis into the shaft. Surgical fixation is often required and physeal growth may be affected
SALTER-HARRIS FRACTURE: V: A crushing injury that compresses the physis. If undetected, avascular necrosis may occur and growth may be inhibited
Salter-Harris fracture (săl′tĕr-hăr′ĭs)
A classification system used to categorize growth plate fractures as one of five types based on the mechanism of injury and the relationship of the fracture line(s) to the epiphyseal plate. The original five types of fractures, since expanded by other authors, were type I—a transverse fracture across the physis; type II—a fracture through the physis and metaphysis but not the epiphysis; type III—a fracture through the physis and epiphysis; type IV—an intra-articular fracture involving the epiphysis, physis, and metaphysis and type V—a compression on the epiphyseal plate. See: illustration
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive
The same mechanism of injury that typically results in a lateral ankle sprain in a 16 year-old--for example, an inward twist of the ankle during soccer--is far more likely to result in a Salter-Harris fracture
in a 10-year-old.
 describe these injuries as "transitional fractures," which should be differentiated from true Salter-Harris fractures
because the tibia is reaching skeletal maturity.
(4) A Salter-Harris 1 fracture occurs in 6% of Salter-Harris fractures
. (5) According to Hatem et al.
Known as Salter-Harris fractures
, these injuries can stunt bone growth or cause improper development.
Children with open fractures or Salter-Harris fractures
were not eligible since these are generally treated surgically.
Salter-Harris fractures of the toe and fractures in general are not commonly seen or treated in chiropractic practice.
Management of Uncomplicated Salter-Harris Fractures by Chiropractors
Type I Salter-Harris fractures involve the entire physis but do not extend into the adjacent epiphysis or metaphysis.
Growth arrests occur many times more frequently in the lower extremities despite the fact that Salter-Harris fractures are more common in the upper extremities.
All types of Salter-Harris fractures
except type V occurred.