Skip to main content

Pediatrics Case 3 Pearl

Salter-Harris Type IV Fracture of the proximal middle phalanx

Clinical Pearl

Red=Metaphyseal Fracture; Blue=Epiphyseal Fracture

Salter-Harris type IV fractures extend through the metaphysis, physis, and epiphysis.  The are at high risk for poor healing because they are intraarticular and can result in bone length discrepancy.