salter harris

Definition

Buckle or Torus fracture

- metaphyseal-diaphyseal junction

- compression fracture

- compression side has undergone plastic deformation

Greenstick Fracture

- diaphyseal injury

- failure tension side

- plastic deformity compression side

Problem

1.  Undulating growth plate / higher rate of growth plate injury

- growth arrest / LLD

- angular deformity

- need to be warned

- require close and careful follow up especially in first 2 years

2.  Can be unstable / malunion and shortening very problematic in this area

Xray

Salter Harris I