Descreva o achado como no laudo. A resposta aponta uma das categorias publicadas, com a probabilidade e o trecho que a decide.
Categorias
Reescritas a partir da fonte e citadas
I
1 de 5
Type I
Fracture plane runs transversely through the physis (growth plate) only, separating the epiphysis from the metaphysis without involving either bony segment; radiographs may be normal or show only physeal widening/epiphyseal displacement. Accounts for ~5% of cases. SALTR mnemonic: S = Slip (slipped physis).
CondutaGenerally treated non-operatively with closed reduction and cast or splint immobilization; surgery is rarely needed.
RiscoLowest-risk type: low propensity for growth disturbance and a favorable prognosis when the germinal layer and physeal blood supply are preserved.
verificadoInjuries involving the epiphyseal plateWikipedia 'Salter-Harris fracture' Types section + SALTER mnemonic; management and prognosis from StatPearls NBK430688 ('Salter-Harris I and II fractures can be treated with closed reduction, casting, or splinting'; lower types 'less severe and have less of a propensity for growth abnormalities').
II
2 de 5
Type II
Fracture extends through the physis and exits obliquely through the metaphysis, sparing the epiphysis, leaving a triangular metaphyseal fragment (Thurston-Holland fragment / corner sign). Most common type (~75%). SALTR mnemonic: A = Above (line continues above the physis, into the metaphysis).
CondutaUsually treated non-operatively with closed reduction and cast/splint immobilization; surgery reserved for unstable or irreducible injuries.
RiscoLow risk of growth disturbance with a generally favorable prognosis, similar to type I.
verificadoInjuries involving the epiphyseal plateWikipedia 'Salter-Harris fracture' Types section + SALTER mnemonic (Thurston-Holland fragment); management and prognosis from StatPearls NBK430688 (closed reduction/casting for types I-II; low propensity for growth abnormality).
III
3 de 5
Type III
Intra-articular fracture extending through the physis and exiting through the epiphysis, sparing the metaphysis, and crossing the articular surface/cartilage. SALTR mnemonic: L = Lower (fracture below the physis, into the epiphysis).
CondutaOften requires open reduction and internal fixation to restore the articular surface, with fixation placed so as not to cross the physis.
RiscoModerate risk: intra-articular and physeal involvement carry a risk of growth retardation, altered joint mechanics, and functional impairment.
verificadoInjuries involving the epiphyseal plateWikipedia 'Salter-Harris fracture' Types section + SALTER mnemonic; management and prognosis from StatPearls NBK430688 ('usually require open reduction and internal fixation (avoiding crossing the physis)'; risk of growth retardation/altered joint mechanics/functional impairment).
IV
4 de 5
Type IV
Intra-articular fracture passing through all three elements — epiphysis, physis, and metaphysis — in a single line crossing the growth plate, involving the articular surface. SALTR mnemonic: TE = Through Everything.
CondutaSurgical: typically requires open reduction and internal fixation to anatomically realign the physis and articular surface.
RiscoHigher risk of premature physeal fusion/growth arrest, articular incongruity, and functional impairment; higher Salter-Harris types carry greater risk of growth disturbance.
verificadoInjuries involving the epiphyseal plateWikipedia 'Salter-Harris fracture' Types section + SALTER mnemonic; management and prognosis from StatPearls NBK430688 (ORIF standard; growth retardation/altered joint mechanics; 'higher-grade Salter-Harris fractures have a higher incidence of premature physeal fusion').
V
5 de 5
Type V
Crush/compression injury of the physis with no discrete fracture line, damaging the germinal and hypertrophic layers and physeal vascular supply; often radiographically occult, sometimes seen as reduced epiphyseal-metaphyseal distance. Very rare; frequently diagnosed retrospectively. SALTR mnemonic: R = Rammed (crush).
CondutaRecognition warrants prompt orthopedic consultation; diagnosis is often delayed and management focuses on monitoring for growth arrest.
RiscoPoorest prognosis: high likelihood of growth arrest/premature physeal fusion owing to germinal-matrix and vascular injury.
verificadoInjuries involving the epiphyseal plateWikipedia 'Salter-Harris fracture' Types section + SALTER mnemonic; management and prognosis from StatPearls NBK430688 (crush of germinal matrix and vascular supply, often retrospective diagnosis; 'poor prognosis leading to bone growth arrest').
Lógica de decisão estruturada
{
"categories": [
"I",
"II",
"III",
"IV",
"V"
]
}
Referência, não é dispositivo médico. Confira a publicação primária vigente. O radiologista que assina o laudo continua autor e responsável.