Salter-Harris type II fracture

Mr Andrew Murphy et al.

Salter-Harris type II fractures are the most common physeal fractures that occur in children. The fracture line will include the physis and a portion of the metaphysis, leaving a triangular metaphyseal fragment intact, otherwise known as the Thurston Holland fragment.

Salter-Harris fractures are injuries where a fracture of the metaphysis or epiphysis extends through the physis. Not all fractures that extend to the growth plate are Salter-Harris fractures.


Approximately 75% of physeal fractures will be a Salter-Harris type II with 33-50% occurring at the distal radius. Other common fracture sites are the distal tibia, distal fibula and, phalanges 2,3.

Radiographic features

Salter-Harris type II fractures describe a fracture that extends through the physis and into a portion of the metaphysis.

In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries.

Plain radiograph
Share article

Article information

rID: 50706
System: Paediatrics
Synonyms or Alternate Spellings:

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Figure 1: Salter-Harris type II illustration
    Drag here to reorder.
  • Drag
    Case 1: Salter Harris type II
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.