Salter Harris type IV fracture | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Salter Harris type IV fracture

AP radiograph of the wrist shows Salter-Harris type IV fractures of the distal radius (arrow) and ulna (dashed arrow). Salter-Harris type IV fractures involve the epiphysis, physis, and metaphysis. They are more likely to be associated with subsequent growth plate arrest compared to the more common Salter-Harris type II fracture.

Similar cases

AP (image 1) and a lateral (image 2) radiograph of the wrist show a displaced Salter-Harris type II fracture of the distal radius. The fracture is translated dorsally by more than 100% with overlap of the fracture fragment from the donor site. A Salter-Harris type II fracture of the wrist is one of the most common fractures identified in children. It occurs from a fall onto an outstretched hand.](https://app.figure1.com/case-detail/0b287a42-b230-40d0-bb69-eaa0b27eebf2)

AP radiograph of the wrist shows Salter-Harris type IV fractures of the distal radius (arrow) and ulna (dashed arrow). Salter-Harris type IV fractures involve the epiphysis, physis, and metaphysis. They are more likely to be associated with subsequent growth plate arrest as compared to the more common Salter-Harris type II fracture.](https://app.figure1.com/case-detail/28a0b743-049c-45bd-a249-6315c82c5c81)

Salter-Harris Fracture (or growth plate fracture)
After reduction ( type 2)](https://app.figure1.com/case-detail/3f0f5bbb-c7bc-49d8-a72c-fe19e262ccf4)

Ankle radiograph shows a Salter-Harris type 3 fracture (arrow) of the epiphysis of the distal tibia.
What imaging feature indicates the need for surgical fixation of a Tillaux fracture?
#FridayQuizDay #Quiz #FridayQuiz](https://app.figure1.com/case-detail/53b1f50a-a8ac-4e00-b1f0-841884968cfe)