Physeal Injuries — Salter–Harris & Ogden
Physis has zonal architecture; hypertrophic zone is weakest and fails in most injuries. Salter–Harris I–V (Slip, Above, Lower, Through, Rammed) with Ogden’s extension (VI–IX). Aim for **anatomic reduction**, especially for SH III–IV to prevent joint incongruity and growth arrest. Consider percutaneous reduction techniques to minimize physeal damage; avoid repeated forceful attempts. Long‑term surveillance for growth disturbance with Park–Harris lines and contralateral comparison.
Related to
1Practised by MCQ
10Which Salter-Harris type is characterized by a fracture through the physis only?
mcqWhat is the most common type of Salter-Harris fracture?
mcqWhich Salter-Harris type requires anatomic reduction to prevent joint incongruity?
mcqWhat type of injury does Ogden's Type VI describe?
mcqWhat is the primary treatment for a Salter-Harris Type IV injury?
mcqWhich Salter-Harris type has the highest risk of growth arrest?
mcqWhat is the main concern with Type III and IV Salter-Harris fractures?
mcqIn which zone does the most common fracture occur in the physis?
mcqWhat is the purpose of long-term surveillance following a physeal injury?
mcqWhat is a common example of an Ogden Type VII injury?