Salter-Harris classification
Pronunciation: SAL-ter HAR-ris
System for categorizing growth plate fractures in children based on involvement of physis, metaphysis, and epiphysis.
Full Definition
The Salter-Harris classification is a widely used system for categorizing physeal fractures in pediatric patients, developed by Robert Salter and W. Robert Harris. The classification includes five types (I-V) based on the pattern of involvement of the physis, metaphysis, and epiphysis. Type I involves only the physis, Type II extends through the metaphysis, Type III involves the epiphysis, Type IV crosses all three components, and Type V represents a crushing injury to the physis. This classification helps predict prognosis and guide treatment decisions.
Usage
Usage note: Always specify the type (I-V) and anatomical location when documenting these fractures.
In Context
- "Radiographs revealed a Salter-Harris type II fracture of the distal radius with minimal displacement." — emergency department report
- "The prognosis for growth disturbance is generally poor with Salter-Harris type V injuries." — orthopedic consultation note