Salter-Harris type II fracture of proximal radius
Discussion:
The present case is a type 2 Salter-Harris fracture as the fracture line passes across the growth plate and through the metaphysis.
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)
In a pediatric elbow radiograph evaluation, it is important to be familiar with the expected ossification centers' appearance by age. They can be remembered using the CRITOE mnemonic:
- C: capitellum
- R: radial head:
- I: Internal (medial) epicondyle
- T: trochlea
- O: olecranon
- E: external (lateral) epicondyle
Case contributed by Dr. Francisco Abaeté, M.D., PhD.