Board Review: It's all about the little people!
15 year old male presents to the emergency department after he has a fall from a skateboard. Xray below reveals a fracture. What classification of Salter-Harris fracture does the patient have?
A. Type I
B. Type II
C. Type III
D. Type IV
B. Type II- Your patient has a Type II Salter-Harris fracture above the physis. Type II is the most common type, representing 75% of physeal fractures, and it has a lower rate of growth arrest compared to types III and IV. Keep in mind that even if X-ray is negative, occult type I fractures are possible - if the patient has significant growth plate tenderness, splint and arrange for ortho follow up
For further review of Salter-Harris fractures see this previous EM Daily post: http://emdaily.cooperhealth.org/content/imaging-case-answer-5