Citation, DOI, disclosures and article data
Citation:
Murphy A, Bell D, Thurston M, et al. Thurstan Holland fragment. Reference article, Radiopaedia.org (Accessed on 27 Mar 2025) https://doi.org/10.53347/rID-50705
The Thurstan Holland fragment (or Thurstan Holland sign) is an eponymous radiological sign depicting a triangular portion of the metaphysis remaining with the epiphysis in a physeal fracture. This fragment indicates that a type 2 Salter-Harris fracture has occurred 1.
History and etymology
It is named after Charles Thurstan Holland (1863-1941), an English radiologist, and one of the trailblazers in the early development of radiology as a specialty 2.
According to the Salter-Harris classification, which type of physeal fracture is shown on this x-ray (lateral view) of the right ankle?

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1. Hamlet A. Peterson. Epiphyseal Growth Plate Fractures. ISBN: 3540338020
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2. Cope R. Radiologic history exhibit. Charles Thurstan Holland, 1863-1941. Radiographics : a review publication of the Radiological Society of North America, Inc. 15 (2): 481-8. doi:10.1148/radiographics.15.2.7761652 - Pubmed
Multiple choice questions:
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