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Case of the Week 307




What's the most likely diagnosis?

  • 8 year old with shoulder pain after fall

  1. Normal
  2. Acromion fracture
  3. Dermatomyositis
  4. Salter 1 Fracture
  5. Leukemia

Additional Image-Radiograph of shoulder in internal rotation

 

Additional Images

 

Radiograph of shoulder in internal rotation


Answer:

 


4. Salter 1 Fracture

 

 

More (Click Discussion Tab)


Salter-Harris Fractures

General Considerations

  • The epiphyseal plate (physis or growth plate) is the weakest part of the bone to shearing injuries
  • The Salter-Harris classification is a means of categorizing epiphyseal plate fractures and provides clues to their prognosis
  • All such these fractures, by definition, involve or extend through the epiphyseal plate so that all such fractures occur in children before the epiphyseal plate closes

More ...


 


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