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Salter-Harris Fracture Type II

Tiger MKT - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Salter-Harris Fracture Type II

History: Patient is a 12 year-old girl who presents for follow-up to reassess a healed left forearm fracture. The patient's history is significant for a left forearm fracture obtained last year from falling on an outstretched hand. The patient's arm was evaluated and casted.

Findings: IMAGE ONE: •This view of the patient's left forearm shortly after being casted is inadequate due to having only one view in addition to the artifact generated by the cast itself. However, a fracture is visible in the distal radial metaphysis extending into the distal physis. IMAGE TWO: •Possible positive ulnar variance. (Ulna is approximately 2mm longer than the radius) •An ulnar avulsion is visible distal to the Ulnar process. •Premature ossification of the lower radial epiphysis with the radial body. (Typically ossification occurs at the age of twenty.)

Ddx: Salter-Harris Fracture Type II

Dxhow: The radiograph findings show a possible positive ulnar variance relative to a shortened radius. The premature ossification of the distal radial growth plate can be explained by a fracture that has injured the growth plate itself. The findings are consistent with a Type II Salter-Harris fracture.

Exam: Physical exam of the left wrist reveals no abnormalities.

No MeSH data available.


This image shows the patient's  fracture at the lower radial metaphysis extending into the physis.
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MPX1833_synpic46318: This image shows the patient's fracture at the lower radial metaphysis extending into the physis.


Salter-Harris Fracture Type II

Tiger MKT - MedPix (2009)

This image shows the patient's  fracture at the lower radial metaphysis extending into the physis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1833&req=5

MPX1833_synpic46318: This image shows the patient's fracture at the lower radial metaphysis extending into the physis.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Salter-Harris Fracture Type II

History: Patient is a 12 year-old girl who presents for follow-up to reassess a healed left forearm fracture. The patient's history is significant for a left forearm fracture obtained last year from falling on an outstretched hand. The patient's arm was evaluated and casted.

Findings: IMAGE ONE: •This view of the patient's left forearm shortly after being casted is inadequate due to having only one view in addition to the artifact generated by the cast itself. However, a fracture is visible in the distal radial metaphysis extending into the distal physis. IMAGE TWO: •Possible positive ulnar variance. (Ulna is approximately 2mm longer than the radius) •An ulnar avulsion is visible distal to the Ulnar process. •Premature ossification of the lower radial epiphysis with the radial body. (Typically ossification occurs at the age of twenty.)

Ddx: Salter-Harris Fracture Type II

Dxhow: The radiograph findings show a possible positive ulnar variance relative to a shortened radius. The premature ossification of the distal radial growth plate can be explained by a fracture that has injured the growth plate itself. The findings are consistent with a Type II Salter-Harris fracture.

Exam: Physical exam of the left wrist reveals no abnormalities.

No MeSH data available.