Fractures in the pediatric population differ from typical fractures due to the possibility of physis (growth plate) involvement. If the physis is fractured, it could lead to growth arrest in that bone. The Salter-Harris classification describes the 5 classes of fractures, with the higher classes being more severe in nature and more likely to cause growth arrest. To remember the
Salter-Harris Pediatric Fracture Classification, just remember the name minus the 'e':
SALTR
| Fracture | Explanation |
| S | Straight Across | Type I: Involves physis only |
| A | Above | Type II: Fracture involving physis and metaphysis |
| L | Lower | Type III: Fracture involving physis and epiphysis |
| T | Through | Type IV: Fracture involving all 3: physis, metaphysis, epiphysis |
| R | Rammed | Type V: Crush injury of physis |
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There are 4 more types in the full classification, but these five are most common. Of these five types, Type II is by far the most common (approximately 80%).
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