Salter-Harris type II fracture
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- updated 21 Dec 2023:
Nothing to disclose
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Salter-Harris type II fractures are are the most common type of physeal fractures that that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will be left intact.
Epidemiology
Approximately 75% of physeal fractures will be a Salter-Harris type II with 33-50% occurring at the distal radius. Other common fracture sites are the distal tibia, distal fibula and, phalanges 2,3.
Radiographic features
In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries.
Plain radiograph
- fracture through the physis
- Thurston Holland fragment
- angulation, displacement and rotation may occur
-<p><strong>Salter-Harris type II fractures</strong> are the most common type of <a href="/articles/physeal-fractures">physeal fractures</a> that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the <a href="/articles/thurstan-holland-fragment">Thurston Holland fragment</a>, will be left intact.</p><h4>Epidemiology</h4><p>Approximately 75% of physeal fractures will be a Salter-Harris type II with 33-50% occurring at the distal radius. Other common fracture sites are the distal tibia, distal fibula and, phalanges <sup>2,3</sup>.</p><h4>Radiographic features</h4><p>In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries.</p><h5>Plain radiograph</h5><ul>-<li>fracture through the physis</li>-<li><a href="/articles/thurstan-holland-fragment">Thurston Holland fragment</a></li>-<li>angulation, displacement and rotation may occur</li>- +<p><strong>Salter-Harris type II fractures</strong> are the most common type of <a href="/articles/physeal-fractures">physeal fractures</a> that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the <a href="/articles/thurstan-holland-fragment">Thurston Holland fragment</a>, will be left intact.</p><h4>Epidemiology</h4><p>Approximately 75% of physeal fractures will be a Salter-Harris type II with 33-50% occurring at the distal radius. Other common fracture sites are the distal tibia, distal fibula and, phalanges <sup>2,3</sup>.</p><h4>Radiographic features</h4><p>In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries.</p><h5>Plain radiograph</h5><ul>
- +<li>fracture through the physis</li>
- +<li><a href="/articles/thurstan-holland-fragment">Thurston Holland fragment</a></li>
- +<li>angulation, displacement and rotation may occur</li>
Images Changes:
Image 17 X-ray (Frontal) ( create )
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Case 17: distal radius
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17.
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