Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
pediatrics topic hub

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.

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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.
MCQs

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Question 1

Which Salter-Harris type is characterized by a fracture through the physis only?

Question 2

What is the most common type of Salter-Harris fracture?

Question 3

Which Salter-Harris type requires anatomic reduction to prevent joint incongruity?

Question 4

What type of injury does Ogden's Type VI describe?

Question 5

What is the primary treatment for a Salter-Harris Type IV injury?

Question 6

Which Salter-Harris type has the highest risk of growth arrest?

Question 7

What is the main concern with Type III and IV Salter-Harris fractures?

Question 8

In which zone does the most common fracture occur in the physis?

Question 9

What is the purpose of long-term surveillance following a physeal injury?

Question 10

What is a common example of an Ogden Type VII injury?