Pediatric Fracture involving the growth plate

Fractures involving the growth plate are described using the Salter classification, with higher numbers indicating greater risk of a poor late result:

Salter Classification
I Shearing separation of epiphysis from metaphysis
II Small segment of metaphysis taken with epiphysis
(Thurston-Holland fragment)
III Intra-articular epiphyseal without epiphyseal plate injury
IV Vertical through metaphysis, epiphyseal plate and epiphysis
V Crush Injury of epiphysis

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