Question: What Is A Salter Harris Fracture?

What happens when a child breaks their growth plate?

If a fracture goes through a growth plate, it can result in a shorter or crooked limb.

A growth plate fracture affects the layer of growing tissue near the ends of a child’s bones.

Growth plates are the softest and weakest sections of the skeleton — sometimes even weaker than surrounding ligaments and tendons..

What age does the growth plate close?

Typically, girls’ growth plates close when they’re about 14-15 years old on average. Boys’ growth plates close by around the time they turn 16-17 on average. This occurs earlier in some individuals and later in others. Also, different bones’ growth plates close at different times.

What are the 4 types of fractures?

Types of FracturesGreenstick – Incomplete fracture. … Transverse – The break is in a straight line across the bone.Spiral – The break spirals around the bone; common in a twisting injury.Oblique – Diagonal break across the bone.Compression – The bone is crushed, causing the broken bone to be wider or flatter in appearance.More items…

What is a Salter Harris type 4 fracture?

Salter-Harris type IV fractures are relatively uncommon injuries that occur in children. They are intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis. Salter-Harris fractures are a group childhood injuries where a fracture involves the physis.

What is the most common Salter Harris fracture?

Of the five most common Salter-Harris fracture types, type II is the most common (75%) followed by types III (10%), IV (10%), type I (5%), and lastly, type V which is very rare. Males are more likely to be affected because they have an increased tendency to engage in high-risk activities.

How long does it take to recover from a fractured growth plate?

If your child has a minor, non-displaced fracture, the doctor may treat it like a sprain, and suggest a splint, cast, or walking boot to protect the area for four to six weeks. Usually, these types of fractures do not require long-term care.

Do growth plate fractures show up on xray?

Because growth plates haven’t hardened into solid bone, they are difficult to interpret on X-rays. Doctors may ask for X-rays of both the injured limb and the opposite limb so that they can be compared. Sometimes a growth plate fracture cannot be seen on X-ray.

What is a Grade 1 fracture?

grade 1: clean wound <1 cm in length. grade 2: wound 1-10 length without extensive soft-tissue damage, flaps or avulsions. 3: laceration (>10 cm) or tissue loss/damage or an open segmental fracture. open fractures caused by farm injuries.

How bad is a fractured growth plate?

A growth plate fracture can cause nearby joints to feel warm or swell. The fracture can cause pain, especially when pressure is applied to the area. Being unable to put weight on or move the arm or leg can be another symptom of a growth plate fracture.

Can you grow after growth plates close?

Although most adults won’t grow taller after age 18 to 20, there are exceptions to this rule. First, the closure of the growth plates may be delayed in some individuals (36, 37). If the growth plates remain open past age 18 to 20, which is uncommon, height could continue to increase.

How do you treat a Salter Harris fracture?

How is a Salter-Harris fracture treated?Prescription pain medicine may be given. … A cast or splint may be used to help prevent movement in the injured area until more treatment is done. … Surgery may be needed to repair certain types of Salter-Harris fractures.

What is the Salter Harris classification system?

Salter (1924–2010) and W. Robert Harris (1922–2005), created a physeal fracture classification system based on anatomy, fracture pattern, and prognosis [26]. Salter and Harris described two major types of epiphyseal plates: the pressure epiphysis and the traction epiphysis.

What does Salter stand for?

Salter–Harris fractureSalter–Harris fracturesOther namesGrowth plate fractureAn X-ray of the left ankle showing a Salter–Harris type III fracture of medial malleolus. Black arrow demonstrates fracture line while the white arrow marks the growth plate.SpecialtyOrthopedic surgery1 more row

What are avulsion fractures?

An avulsion fracture occurs when a small chunk of bone attached to a tendon or ligament gets pulled away from the main part of the bone. The hip, elbow and ankle are the most common locations for avulsion fractures in the young athlete.

Do you need a cast for a fractured growth plate?

Often, a growth plate fracture may be mild and need only rest and a cast or splint. But if bones are out of place (or displaced), they have to be put back into the right position with a procedure called a reduction. A reduction is also called “setting the bone.”

Can you walk on a fractured growth plate?

More severe fractures of the fibula growth plate, where the injury can be clearly seen on an X-ray, usually require more time to heal. A walking boot may be an option in this situation.

How is a growth plate fracture treated?

Growth Plate Fracture Treatment Growth plate fractures are generally treated with splints or casts. Sometimes, the bone may need to be put back in place to allow it to heal in the correct position. This may be done before or after the cast is placed and is called a closed reduction.

What is a Level 4 fracture?

A type IV fracture is the second most common Salter-Harris fracture and occurs in about 10-12% of cases (see the images below). It involves all 3 elements of the bone, passing through the epiphysis, physis, and metaphysis.

What is a Colle’s fracture?

A Colles fracture is a break in the radius close to the wrist. It was named for the surgeon who first described it. Typically, the break is located about an inch (2.5 centimeters) below where the bone joins the wrist. A Colles fracture is a common fracture that happens more often in women than men.

How long does it take for a Salter Harris fracture to heal?

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.

What is a Type 2 fracture?

Fracture = A break in a bone. A type II odontoid fracture is a break that occurs through a specific part of C2, the second bone in the neck. Bones of the spine are called vertebrae. The bone involved in odontoid fracture is the second vertebra, C2, high up in the neck.