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Salter-Harris Classification

 
 
 
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Overview

The Salter-Harris classification is a system for classifying fractures involving the growth plate. Such fractures have the potential of interrupting the proliferative zone, halting bone growth; higher grade fractures are at higher risk.
  • Classification

  • I
    Straight through - fracture directly across the growth plate, not involving surrounding boneGood prognosis
  • II
    Above - fracture across the growth plate and up through the metaphysis (most common)Good prognosis
  • II
    Lower - fracture across the growth plate and down through the epiphysisPoor prognosis - interruption of proliferative zone
  • IV
    Transverse - fracture directly through the metaphysis, growth plate and epiphysisPoor prognosis - interruption of proliferative zone
  • V
    Ruined / rammed - direct compression of the growth plateWorst prognosis
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