Presentation
Fall onto the outstretched hand while playing football (soccer). Wrist deformity upon physical examination.
Patient Data
Age: 10 years
Gender: Male
From the case:
Salter-Harris type I fracture of distal radius
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Radiographs revealed a slipped epiphysis of the distal radius with dorsal displacement, in keeping with a Salter-Harris type I physeal fracture.
There is also an associated fracture of the ulnar epiphysis.
Case Discussion
The present case is a type I Salter-Harris fracture as there is a translation of the epiphysis without a noticeable fracture line.
Salter-Harris classification is used to describe physeal fractures. The classification can be remembered using the SALTR mnemonic:
- S: slipped (type I)
- A: above or away from joint (type II)
- L: lower (type III)
- T: through or transverse or together (type IV)
- R: ruined or rammed (type V)