How do you treat a Salter-Harris Type 2 fracture?
Type I and II fractures are often treated with a closed reduction, which involves setting a bone back in place without surgery. After realignment of the bone, a cast or splint is typically applied to keep the bone stable so it may heal properly.
What is a Salter II fracture?
Salter-Harris type II fractures are the most common type of physeal fractures that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will be left intact.
Does a Salter Harris fracture need a cast?
Your child’s injury may need to be put in a cast or splint if a Salter-Harris fracture is known or suspected. This will help prevent more injury to the growth plate and surrounding bone. If the bone is not displaced (moved out of place), your child may get a cast to secure the bone as it heals.
What is a Type 2 fracture?
Type 2. This fracture occurs when the growth plate is hit and splits away from the joint along with a small piece of the bone shaft. This is the most common type and happens most often in children over 10. About 75 percent of Salter-Harris fractures are type 2.
How do you remember Salter Harris classification?
SALTER mnemonic for classification
- I – S = Slip (separated or straight across). Fracture of the cartilage of the physis (growth plate)
- II – A = Above. The fracture lies above the physis, or Away from the joint.
- III – L = Lower.
- IV – TE = Through Everything.
- V – R = Rammed (crushed).
What kind of fracture is a Salter I fracture?
Salter I (Slipped) This is when the fracture line extends through the physis or within the growth plate. Type I fractures are due to the longitudinal force applied through the physis which splits the epiphysis from the metaphysis.
How is a type I bone fracture treated?
Type I and II fractures are often treated with a closed reduction, which involves setting a bone back in place without surgery. After realignment of the bone, a cast or splint is typically applied to keep the bone stable so it may heal properly.
When do distal radial physeal fractures need to be reduced?
In general, distal radial physeal fractures that are angulated >20 degrees (as seen on the lateral x-ray) need to be reduced. Angulation is less acceptable if there is less than two years of growth remaining. More angulation can be accepted in children less than eight years old and those presenting late.