Salter-Harris IV Fracture
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0854-Salter-Harris IV Fracture
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CA0854-Salter-Harris IV Fracture
Case ReportHistory
Exam
Prior Study
Findings
Technique:
The technique is adequate for interpretation. The area of concern is indicated by the patient and included on the exam.
Soft Tissues:
There is soft tissue swelling about the ankle. There is no effusion.
Bone:
There is a break or interruption of the continuity of the cortical and cancellous bone of the posterior tibial metaphysis with minimal posterior displacement of the fracture fragment. There is also an oblique fracture of the tibial epiphysis with minimal lateral displacement of the lateral fragment in relation to the ankle mortise.
There is linear lucency from an oblique fracture of the distal tibial epiphysis.
Overall bone density is normal.
Growth plates, ossification centers, apophyses:
The growth plate is abnormal. There is a fracture of the posterior tibial metaphysis, lateral physis, and epiphysis which extends to the joint space with minimal displacement of the lateral epiphyseal fragment and widening of the lateral physis (S-H IV).
Joints and alignment:
There is no effusion.
The epiphysis is fractured with minimal lateral displacement of the lateral epiphyseal fragment from the S-H IV fracture which involves the ankle mortise.
The ankle joint is not widened, narrowed, dislocated, malaligned, or incongruent.
Other findings:
There is an os trigonum, an anatomic variant. The remainder of the exam is normal for age.
