Fractures & Trauma · NEET PG Preparation Orthopaedics

A 10-year-old boy falls from a jungle gym and injures his left elbow. On examination, there is marked swelling, pain, and an inability to move the el…

Practice question from Fractures & Trauma (NEET PG Preparation Orthopaedics), with the correct answer and a step-by-step solution.

hard · MCQ · Q-F4346D

A 10-year-old boy falls from a jungle gym and injures his left elbow. On examination, there is marked swelling, pain, and an inability to move the elbow. Radiographs reveal a fracture of the distal humerus extending through the physis and epiphysis, entering the joint. According to the Salter-Harris classification, how is this fracture categorized?

  1. A.Salter-Harris Type I
  2. B.Salter-Harris Type II
  3. C.Salter-Harris Type III
  4. D.Salter-Harris Type IVCorrect answer

Solution

Salter-Harris Type IV fractures involve a fracture line that extends from the joint surface, through the epiphysis, across the physis (growth plate), and through a portion of the metaphysis. This requires anatomical reduction to prevent growth arrest and joint incongruity.

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