Klassifikation der Epiphysenfrakturen nach Salter und Harris



Type 1Complete separation of the epiphysis from the metaphysis without any bone fracture. The growing cells of the epiphyseal plate remain with the epiphysis.
Type 2The line of separation extends along the epiphyseal plate to a variable distance and then out through a portion of the metaphysis, thus producing the familiar triangular-shaped metaphyseal fragment sometimes referred as Thurston Holland's sign. The periosteum is torn on the convex side of the angulation but is intact on the concave side - the side on which the metaphyseal fragment is seen.
Type 3Fracture of a part of the epiphysis. The fracture, which is intra-articular, extends from the joint surface to the weak zone of the epiphyseal plate and then extends along the plate to its periphery. This injury is uncommon, but when it does occur it is usually in either the upper or lower tibial epiphysis and is due to an intraarticular shearing force.
Type 4The fracture, which is intra-articular, extends from the joint surface through the epiphysis, across the full thickness of the epiphyseal plate, and through a portion of the metaphysis, thereby producing a complete split. The commonest example of this type of injury is fracture of the lateral condyle of the humerus.
Type 5This relatively uncommon injury results from a very severe crushing force applied through the epiphysis to one area of the epiphyseal plate. It occurs in joints which move in one plane only, such as the ankle or the knee. A severe abduction or adduction injury to a joint that normally only flexes or extends is likely to produce crushing of the epiphyseal plate, which may separate. Displacement of the epiphysis is unusual.