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 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. | |||
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== Mechanism of Injury / Pathological Process<br> == | == Mechanism of Injury / Pathological Process<br> == | ||
Revision as of 22:23, 18 November 2009
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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.
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.
For purposes of this wiki I will discuss Salter-Harris fractures that are classified into 5 types.
• 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.
• 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.
• 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.
• Type IV extends through the epiphysis, the growth plate and the metaphysis.
• Type V is a crushing type injury that affects the growth plate.
The following links is a good visual represenatation of the structures involved in these fractures. emedicine.medscape.com/article/412956-print[edit source]
== There are Type VI-Type IX fractures also but these are rare.
==
Mechanism of Injury / Pathological Process
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