|Discussion: Salter Harris Classification |
I. Transverse fracture through physis, increased width of physis. Usually growth is not impaired. Patient will have point tenderness at epiphyseal plate. Initial radiographs suggest separation of the physis, but radiographs taken 7-10 days after show adjacent sclerosis and periosteal reaction.
II. Fracture through physis and metaphysis, most common type.
III. Fracture through the physis and epiphysis, damage to the physis and extends into articular surface of the bone. Favorable prognosis
IV. Fracture through epiphysis, physis and metaphysis, also intraarticular. Interferes with growth and can cause premature focal fusion of involved bone and deformity of the bone.
V. Compression of epiphyseal plate, typically secondary to axial load injury. Often retrospective diagnosis after premature closure of physis is observed. Soft tissue edema at physis is usually present.