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Case of the Week 530



What is the most likely diagnosis?

  • 10 year-old with pain in ankle after fall



Frontal radiograph of the ankle

  1. Salter-Harris I fracture
  2. Salter-Harris II fracture
  3. Salter-Harris III fracture
  4. Salter-Harris IV fracture
  5. Salter-Harris V fracture

Additional Image-None

 

Additional Images


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Answer:

 

4. Salter-Harris IV fracture

 

More (Click Discussion Tab)

 

 

Salter-Harris IV fracture

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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