Question 1289
{"accessible":true,"alternatives":[{"id":6440,"text":"1"},{"id":6441,"text":"2"},{"id":6442,"text":"3"},{"id":6443,"text":"4"},{"id":6444,"text":"5"}],"archived":false,"correctAlternativeId":6443,"explanation":"\u003cp\u003e\u003cstrong\u003eSalter-Harris type IV\u0026nbsp;\u003c/strong\u003efractures pass directly through the metaphysis, growth plate and down through the epiphysis. They have a\u0026nbsp;poor prognosis as the proliferative and reserve zones are interrupted.\u003c/p\u003e\u003cp\u003eThere are many helpful mnemonics to help remember this classification system, and consequently, they are in order of prognosis from best to worst.\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\u003cp\u003e\u003cstrong\u003eS:\u0026nbsp;\u003c/strong\u003eslipped (type I)\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003e\u003cstrong\u003eA:\u0026nbsp;\u003c/strong\u003eabove (type II)\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003e\u003cstrong\u003eL:\u0026nbsp;\u003c/strong\u003elower (type III)\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003e\u003cstrong\u003eT:\u0026nbsp;\u003c/strong\u003ethrough or transverse or together (type IV)\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003e\u003cstrong\u003eR:\u0026nbsp;\u003c/strong\u003eruined or rammed (type V)\u003c/p\u003e\u003c/li\u003e\n\u003c/ul\u003e","id":1289,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/877/2c4b434e68b046de5b21c827cfe3d0_big_gallery_big_gallery_big_gallery.jpeg","imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1997","nextQuestionPath":"/articles/salter-harris-classification/questions/1288","relatedArticles":[],"alsoUsedIn":[{"id":354,"kind":"Course","title":"Trauma Radiology Course - Sydney - page 354","link":"https://radiopaedia.org/courses/trauma-radiology-course-sydney-2020/pages/354"},{"id":354,"kind":"Course","title":"Emergency Radiology Course - Melbourne - page 354","link":"https://radiopaedia.org/courses/emergency-radiology-course-melbourne-2020/pages/354"},{"id":354,"kind":"Course","title":"X-ray Interpretation: Hand Injuries - page 354","link":"https://radiopaedia.org/courses/x-ray-interpretation-hand-injuries/pages/354"},{"id":354,"kind":"Course","title":"X-ray Interpretation: Upper Limb Injuries - page 354","link":"https://radiopaedia.org/courses/x-ray-interpretation-upper-limb-injuries/pages/354"},{"id":1413,"kind":"Course","title":"Emergency Radiology Course - page 1413","link":"https://radiopaedia.org/courses/emergency-radiology-course-online/pages/1413"},{"id":1413,"kind":"Course","title":"Emergency Radiology Course - Melbourne - page 1413","link":"https://radiopaedia.org/courses/emergency-radiology-course-melbourne-2022/pages/1413"},{"id":1413,"kind":"Course","title":"Emergency Radiology Course - Brisbane - page 1413","link":"https://radiopaedia.org/courses/emergency-radiology-course-brisbane-2022/pages/1413"}],"stem":"\u003cp\u003eThe following fracture\u0026nbsp;is a Salter-Harris type...\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1289"}],"attemptsPercentages":[{"alternativeId":"6443","percentage":86},{"alternativeId":"6440","percentage":0},{"alternativeId":"6442","percentage":10},{"alternativeId":"6444","percentage":1},{"alternativeId":"6441","percentage":3}],"promptToLogin":false,"questionManager":false,"articleId":"salter-harris-classification"}