Template:Condition: Difference between revisions

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== Salter Harris fractures are unique to children because they involve the growth plate which is located between the shaft of a long bone and each end of the bone. <br>Cartilage grows from the epiphysis up toward the metaphysis and neovascularization develops from the metaphysis toward the epiphysis. Damage to the vascular supply will disrupt bone development but damage to the cartilage may not cause a problem if it is repositioned appropriately and the vasuclar supply has not been disrupted.<br>For purposes of this wiki&nbsp;I will discuss Salter-Harris fractures that are classified into 5 types. <br>• Type I is a fracture through the growth plate. The growth plate is completely separated from the end of the bone (metaphysis) but remains attached to the epiphysis.<br>• Type II extends through the metaphysis and the growth plate. There is no involvement of the epiphysis. This is the most common of the Salter-Harris fractures.<br>• Type III is a fracture through the growth plate and the epiphysis. This is rare and when it does occur, it is usually at the distal end of the tibia.<br>• Type IV extends through the epiphysis, the growth plate and the metaphysis. <br>• Type V is a crushing type injury that affects the growth plate.<br>The following links is a good visual represenatation of the structures involved in these fractures. [http://emedicine.medscape.com/article/412956-print emedicine.medscape.com/article/412956-print]  ==


== There are Type VI-Type IX fractures also but these are rare. <br><br>
== Clinically Relevant Anatomy<br> ==


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== Mechanism of Injury / Pathological Process<br> ==
== Mechanism of Injury / Pathological Process<br> ==


<br>Salter-Harrisfractures are often the result of sports related injuries however they have also been attributed to child abuse, genetics, injury from extreme cold, radiation and medications, neurological disorders, and metabolic diseases which all affect the growth plate according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases.<ref name="NIAMS">National Institute of Arthritis and Musculoskeletal and Skin Diseases. Publication Date October 2001. Revised August 2007.</ref><br>Approximately 1/3rd of Salter-Harris fractures occur as the result of sports and 1/5th occur from recreational activites.<br>They may result from a single injury or may be caused by repetitive stresses on the upper and lower extremities.<ref name="NIAMS" />
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== Clinical Presentation  ==
== Clinical Presentation  ==
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<h2> Outcome Measures  </h2>
== Outcome Measures  ==
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== Management / Interventions<br>  ==
== Management / Interventions<br>  ==
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== Key Evidence  ==
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== Resources <br>  ==
== Resources <br>  ==
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== Case Studies  ==
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
== References  ==
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Latest revision as of 19:41, 5 May 2020

Original Editor - User Name
Top Contributors - Rachael Lowe, Colby Boers, Margaret Layden, Admin, Amanda E Davidson, Kim Jackson, Eric Robertson, Tony Lowe and Tabitha Korona

Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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Clinical Presentation[edit source]

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Diagnostic Procedures[edit source]

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Outcome Measures[edit source]

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Management / Interventions
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Differential Diagnosis
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Resources
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References[edit source]

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