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Salter-Harris Fractures, Ankle
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Salter-Harris (SH) fx: Fx through unfused growth plate
              • Kump bump: Cephalad undulation of distal tibial growth plate
                • 1st site of fusion of growth plate
              • Physeal bar
                • Focal region of premature fusion of growth plate
                • Occurs due to growth plate injury
                • Leads to growth disturbance and angular deformity in younger children

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Eismann EA et al: Pediatric triplane ankle fractures: impact of radiographs and computed tomography on fracture classification and treatment planning. J Bone Joint Surg Am. 97(12):995-1002, 2015
                                        2. Schnetzler KA et al: The pediatric triplane ankle fracture. J Am Acad Orthop Surg. 15(12):738-47, 2007
                                        3. Brown SD et al: Analysis of 51 tibial triplane fractures using CT with multiplanar reconstruction. AJR Am J Roentgenol. 183(5):1489-95, 2004
                                        4. Petit P et al: Acute fracture of the distal tibial physis: role of gradient-echo MR imaging versus plain film examination. AJR Am J Roentgenol. 166(5):1203-6, 1996
                                        5. Cass JR et al: Salter-Harris Type-IV injuries of the distal tibial epiphyseal growth plate, with emphasis on those involving the medial malleolus. J Bone Joint Surg Am. 65(8):1059-70, 1983
                                        6. Salter RB et al: Injuries involving the epiphyseal plate. J Bone Joint Surg Am. 45:587-622, 1963
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Salter-Harris (SH) fx: Fx through unfused growth plate
                                                    • Kump bump: Cephalad undulation of distal tibial growth plate
                                                      • 1st site of fusion of growth plate
                                                    • Physeal bar
                                                      • Focal region of premature fusion of growth plate
                                                      • Occurs due to growth plate injury
                                                      • Leads to growth disturbance and angular deformity in younger children

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • Staging, Grading, & Classification

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Eismann EA et al: Pediatric triplane ankle fractures: impact of radiographs and computed tomography on fracture classification and treatment planning. J Bone Joint Surg Am. 97(12):995-1002, 2015
                                                                              2. Schnetzler KA et al: The pediatric triplane ankle fracture. J Am Acad Orthop Surg. 15(12):738-47, 2007
                                                                              3. Brown SD et al: Analysis of 51 tibial triplane fractures using CT with multiplanar reconstruction. AJR Am J Roentgenol. 183(5):1489-95, 2004
                                                                              4. Petit P et al: Acute fracture of the distal tibial physis: role of gradient-echo MR imaging versus plain film examination. AJR Am J Roentgenol. 166(5):1203-6, 1996
                                                                              5. Cass JR et al: Salter-Harris Type-IV injuries of the distal tibial epiphyseal growth plate, with emphasis on those involving the medial malleolus. J Bone Joint Surg Am. 65(8):1059-70, 1983
                                                                              6. Salter RB et al: Injuries involving the epiphyseal plate. J Bone Joint Surg Am. 45:587-622, 1963