Salter-Harris type II fracture

Case contributed by Dr Hani Makky Al Salam

Presentation

Fall. Tender ankle.

Right ankle x-rays

X-ray

Multiple views of the right ankle demonstrate a fracture through the posterior metaphysis, extending to the growth-plate which appears disrupted, the epiphysis shifted posteriorly. The ankle joint itself appears normally aligned. 

Salter Harris fracture classification

Diagram

Diagram depicting the 5 typical Salter Haris fractures, with a rough estimate of relative frequency. 

Case Discussion

This is a typical example of a Salter Harris type II fracture, which is by far the most common growth plate fracture encountered. 

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