Salter Harris I Fracture Proximal HumerusThis is a featured page


Salter Harris I Fracture Proximal HumerusThis 14 year old boy presented to the Emergency Department following a fall off his pushbike. On examination he was found to have a painful and swollen right shoulder. He was referred for right shoulder radiography.

The AP shoulder image demonstrates a proximal humerus growth plate injury. The proximal humeral metaphysis is displaced laterally with respect to the proximal humeral epiphysis. This appearance is consistent with a Salter Harris I growth plate fracture. It is noteworthy that there appears to be a small fragment of bone on the medial aspect of the metaphysis. If this fragment of bone is sourced from the proximal humeral metaphysis, this is a SHII rather than a SHI injury.

SHII fracture proximal humerusThe lateral scapula image demonstrates posterior displacement of the proximal humeral metaphysis with respect to the proximal humeral epiphysis. The possible metaphyseal fragment is again noted anteriorly.







M.J.Fuller
M.J.Fuller 		Latest page update: made by M.J.Fuller , Sep 18 2010, 8:46 AM EDT (about this update About This Update M.J.Fuller Edited by M.J.Fuller

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