What is a Physeal fracture?

What is a Physeal fracture?

Practice Essentials. Growth plate (physeal) fractures may be defined as disruptions in the cartilaginous physis of long bones that may or may not involve epiphyseal or metaphyseal bone.

What are the Salter-Harris classifications?


  • Salter I (Slipped) This is when the fracture line extends through the physis or within the growth plate.
  • Salter II (Above) These are when the fracture extends through both the physis and metaphysis.
  • Salter III (Lower)
  • Salter IV (Through/Transverse)
  • Salter V (Rammed/Ruined)

What are the five types of epiphyseal growth plate fractures?

The Salter-Harris system classifies growth plate fractures into five groups: type I, fracture through the growth plate; type II, fracture through the growth plate and metaphysis; type III, fracture through the growth plate and epiphysis; type IV, fracture through the growth plate, epiphysis and metaphysis, and type V.

What is a Salter-Harris Type 1 Physeal fracture?

A Salter-Harris fracture is a fracture in the growth plate of a child’s bone. A growth plate is a layer of growing tissue close to the ends of a child’s bone. It’s very important to get this condition diagnosed since it can affect a child’s growth.

What does physeal mean?

[ fĭz′ē-əl ] adj. Relating to the area of bone that separates the metaphysis and the epiphysis, in which the cartilage grows.

Where is the Physeal line?

Radiographic features The physis appears as a radiolucent line in skeletally-immature patients located between the metaphysis and epiphysis. It contains zones of mesenchymal cells in various maturation stages (see physeal anatomy illustration).

Is metaphysis and physeal the same?

Also known as a physeal separation, there is no extension into the metaphysis or epiphysis (Figure 4). If non-displaced, they can be difficult to diagnose on radiographs. In these cases, tenderness directly over the growth plate is the best indication of injury.

Is metaphysis and Physeal the same?

The growth plate, or physis, is the translucent, cartilaginous disc separating the epiphysis from the metaphysis and is responsible for longitudinal growth of long bones.

What is a Type III Salter-Harris fracture?

Salter-Harris type III fractures are an uncommon, intraarticular fracture physeal fractures that occur in children. The fracture line is often obliquely oriented through the epiphysis to the physis where it will take a horizontal orientation extending to the edge of the physis.

What is a Type 3 open fracture?

Type III: an open segmental fracture or a single fracture with extensive soft-tissue injury. Also included are injuries older than eight hours. Type III injuries are subdivided into three types: Type IIIA: adequate soft-tissue coverage of the fracture despite high-energy trauma or extensive laceration or skin flaps.

What is a Type 3a fracture?