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Joseph Junewick, MD FACR
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Salter-Harris Type I Fracture of Tibia

Case Detail

Anatomy: Musculoskeletal
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 10 years ago
Updated: over 10 years ago
Tags: PEDS
Modality/Study Types: CR
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12 year old female with pain after injury.

Case Images


Salter-Harris Type I Fracture of Tibia


CR – Lateral radiograph of the knee reveals a fracture through the proximal tibial and anterior tibial tuberosity growth plates with posterior displacement of the distal fragment.


While bones develop and grow, the physis is relatively vulnerable to injury. Fractures involving the physis are classified by the Salter-Harris system: Salter-Harris type 1 fractures only involve the physis, Salter-Harris type 2 fractures pass through the physis and part of the metaphysis, Salter-Harris type 3 fractures involve the epiphysis and the growth plate, Salter-Harris type 4 fractures extend through the metaphysis growth plate and the epiphysis, Salter-Harris type 5 fractures refer to a crush injury of the growth plate. Apophyseal avulsions are analogous to Salter-Harris type 1 fractures. Growth plate injuries predispose to premature or asymmetric closure of the physis and resultant growth disturbance.


Strouse PJ. Skeletal Trauma in Caffey’s Pediatric Diagnostic Imaging, 11th Ed, 2008.


Ellen J. Junewick

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