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Salter-Harris type II fracture

Salter-Harris type II fractures are the most common type of physeal fractures that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will be left intact.


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

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
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Article information

rID: 50706
System: Paediatrics
Synonyms or Alternate Spellings:
  • Salter-Harris II fractures
  • Salter-Harris II fracture
  • Salter-Harris type II fractures

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Cases and figures

  • Figure 1: Salter-Harris type II illustration
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  • Case 1: Salter Harris type II
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  • Case 2: 5th toe fracture - Salter-Harris type II
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