• Salter Harris I or II
Blow to pubis/ischial ramus/proximal femur leads to injury at interface of 2 superior arms of triradiate cartilage and metaphyses of ilium.
A triangular medial metaphyseal fragment (Thurston-Holland fragment) is often seen in SH II injuries.
• Salter Harris V
Difficult to see on initial radiographs. May detect narrowing of triradiate space. Leads to premature triradiate cartilage closure. The earlier the closure, the greater the eventual deformity.
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Average 2.9 of 17 Ratings