Salter-Harris classification
Trauma and orthopaedics
Also known as: Salter-Harris-Klassifikation (Epiphysenfugenverletzung) · Salter-Harris sınıflaması (büyüme plağı kırıkları) · Salter-Harris classification (physeal fractures in children)
What it is for
Classifies fractures that involve the growth plate (physis) of an immature bone by the course of the fracture line through physis, metaphysis and epiphysis.
Classification
| Category | Description |
|---|---|
| Type I | fracture straight through the physis; the epiphysis separates from the metaphysis. |
| Type II | along the physis, then out through the metaphysis (metaphyseal fragment, Thurston-Holland fragment); the most common type. |
| Type III | along the physis, then out through the epiphysis into the joint (intra-articular). |
| Type IV | vertical line crossing metaphysis, physis and epiphysis (intra-articular). |
| Type V | crush (compression) injury of the physis, often not visible on the first radiograph. |
| Mnemonic | SALTR: Slipped, Above, Lower, Through, Rammed (crushed). |
Source
Injuries involving the epiphyseal plate
J Bone Joint Surg Am 1963;45:587–622 (Salter RB, Harris WR)
- Edition
- Salter & Harris 1963 (types I–V); later extensions (Rang type VI, Ogden, Peterson) are rarely used
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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