Nonetheless, they are: type VI : injury to the perichondral structures type VII : isolated injury to the epiphyseal plate type VIII : isolated injury to the metaphysis, with a potential injury related to endochondral ossification type IX : injury to the periosteum that may interfere with membranous growth.
Quiz questions. Salter R, Harris WR. Injuries Involving the Epiphyseal Plate. J Bone Joint Surg Am Primer of Diagnostic Imaging. Mercer Rang, Maya E. Pring, Dennis Ray Wenger. Rang's Children's Fractures. Related articles: Fractures. Promoted articles advertising. Figure 1: normal Figure 1: normal. Case 1: type I Case 1: type I. Figure 2: type I Figure 2: type I. Case 2: type I Case 2: type I. Figure 6: type V Figure 6: type V.
Case 7: type I Case 7: type I. Case 8: type I Case 8: type I. Case type I Case type I. Loading more images Close Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Loading Stack - 0 images remaining. By System:. Other imaging tests may be needed if the fracture is complex, or if the doctor needs a more detailed view of soft tissue:. Type 5 fractures are difficult to diagnose.
A widening of the growth plate may provide a clue to this type of injury. Treatment will depend on the type of Salter-Harris fracture, the bone involved, and whether the child has any additional injuries. The doctor will put the affected bone in a cast, splint, or sling to keep it in the right place and protect it while it heals.
Sometimes these fractures may require nonsurgical realignment of the bone, a process called closed reduction. Your child may need medication for pain and a local or possibly general anesthetic for the reduction procedure. Type 5 fractures are more difficult to diagnose and are likely to affect proper bone growth. Sometimes the doctor will wait to see how bone growth develops before treatment.
Types 3 and 4 usually need a surgical realignment of the bone, called open reduction. The surgeon will put the bone fragments into alignment and may use implanted screws, wires, or metal plates to hold them in place.
Some Type 5 fractures are treated with surgery. In surgery cases, a cast is used to protect and immobilize the injured area while it heals. Follow-up X-rays are needed to check on bone growth at the injury site. Recovery times vary, depending on the location and severity of the injury. Usually, these fractures heal in four to six weeks. The length of time the injury remains immobilized in a cast or sling depends on the particular injury. After the initial period of immobilization, the doctor may prescribe physical therapy.
This will help your child regain flexibility, strength, and range of motion for the injured area. During the recovery period, the doctor may order follow-up X-rays to check on healing, bone alignment, and new bone growth. It may take time before your child can move the injured area normally or resume sports. With proper treatment, most Salter-Harris fractures heal without problems.
More severe fractures can have complications, especially when the leg bone near the ankle or thigh bone near the knee are involved. Sometimes bone growth at the injury site may create a bony ridge that needs surgical removal.
Or, lack of growth can stunt the injured bone. In this case, the injured limb may be deformed or have a different length from its opposite.
Lasting problems are most common with injuries to the knee. Research is ongoing into cellular and molecular therapies that may help regenerate growth plate tissue. Most Salter-Harris fractures occur because of a fall while playing: falling off a bicycle or skateboard, falling off playground equipment, or falling while running.
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Medically reviewed by William Morrison, M. What are the symptoms?
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