Paediatric Fractures
An 11-year-old boy presents after a fall from a bicycle with ankle pain and swelling. Radiographs show a fracture through the distal tibial physis extending into the epiphysis and joint surface. A triangular metaphyseal fragment is also present (Thurston-Holland fragment). The fracture line crosses all three regions of the bone. Regarding physeal injuries:
Mark each as TRUE or FALSE
The Salter-Harris classification describes physeal fractures: Type I (separation through the physis ...
The SALTER mnemonic helps remember the classification: Slipped (Type I), Above (Type II - metaphysis...
Type I injuries always show radiographic displacement; Type V is the most common; Type III fractures...
Treatment principles: Type I and II - closed reduction usually successful, accept some residual disp...
Growth disturbance occurs most commonly with Type IV and V injuries; the distal femur and proximal t...
Answer the questions to see explanations
Click T (True) or F (False) for each option