Salter-Harris classification
Pronunciation: SAL-ter HAR-is
System for categorizing pediatric physeal (growth plate) injuries based on fracture pattern.
Full Definition
The Salter-Harris classification is a widely used system for categorizing fractures involving the physis (growth plate) in pediatric patients. The system includes five types: Type I (through the physis only), Type II (through physis and metaphysis), Type III (through physis and epiphysis), Type IV (through all three - metaphysis, physis, and epiphysis), and Type V (crush injury to the physis). The classification has prognostic value, with higher numbers generally indicating worse prognosis for growth disturbances. The mnemonic 'SALTR' (Straight across, Above, Lower, Through, Rammed) helps remember the patterns.
Usage
Usage note: Applies only to pediatric patients with open growth plates.
In Context
- "The ankle injury was classified as a Salter-Harris Type II fracture of the distal tibia." — Pediatric emergency department note
- "Given the Salter-Harris Type IV pattern, close monitoring for growth disturbance is indicated." — Pediatric orthopedic consultation