Presentation
Fall at school.
Patient Data
Age: 11 years
Gender: Female
From the case:
Salter-Harris type IV fracture
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Intraarticular fracture involving the left 3rd metatarsal head with step depression of the dominant metatarsal head fragment of up to 2 mm. Fracture extends to involve the metaphysis consistent with a Salter Harris 4 type injury. No further fracture evident. There is mild displacement of the metatarsal head dominant fragment laterally.
From the case:
Salter-Harris type IV fracture
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Frontal radiograph with K-wire fixation.
Case Discussion
Salter-Harris type IV fractures make up approximately 10% of all growth plate fractures.
Fracture plane passes directly through the metaphysis, growth plate and epiphysis.
Poor prognosis as the proliferative and reserve zones are interrupted.
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