Secondary to a traumatic even, a child complains of pain in the index finger. An x-ray of the digit demonstrates a fracture line through the metaphysic of the proximal aspect of the middle phalanx, ending at the epiphyseal plate. What type of fracture does this child have?
A. Salter Harris Type I
B. Salter Harris Type II
C. Salter Harris Type III
D. Salter Harris Type IV
E. Salter Harris Type V
Answer: B. Salter Harris Type II
Salter I = slight increase in Space between epiphyseal plate and metaphysic Salter II = fx Above the plate (in the metaphysis) Salter III = fx Lower (in the epiphyseal plate) Salter IV = fit Through (both the metaphysic and epiphysis) Salter V = Really bad (comminuted fx compressing the epiphysis) This spells SALTR and may help you remember.
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If you are studying for the PANCE or the PANRE I recommend these Review Books.
