Daily Bolus of LR: Salter Harris Classification

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June 10, 2011 by dailybolusoflr

Salter Harris Classification

The Salter Harris classification is a classification system for describing growth plate fractures in children.

The growth plate is also known as the PHYSIS
The bone between the growth plate and the joint space is the EPIPHYSIS
The bone between the growth plate and the middle of the bone is the METAPHYSIS
The middle of the bone is the DIAPHYSIS

The word SALTER has been used as a mnemonic for helping to remember these fractures.
S- Type 1- STRAIGHT through the growth plate (these are very hard to diagnose on xray)
A- Type 2- AWAY from the joint or is ABOVE the joint (this is the most common type of fracture)
L- Type 3- LEADING to the joint or is LOWER than the joint
T-Type 4- THROUGH the metaphysis, epiphysis and physis
ER- Type 5- ER. . this is bad. . . the growth plate is crushed

For visual representation of these fractures, please go to the middle of this page:
http://www.niams.nih.gov/Health_Info/growth_plate_injuries/
<http://www.niams.nih.gov/Health_Info/growth_plate_injuries/>

Linda Regan, MD FACEP
Program Director, Emergency Medicine Residency
Johns Hopkins Medical Institutions

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