Salter-Harris Type III and Type IV Combined Fracture of the Distal Femoral Epiphysis: A Case Report

Abstract

Distal femoral physeal fractures are not common but have a high rate of complications. They generally follow one of the patterns described in the Salter-Harris classification. We present a case of combination of Salter-Harris type III and type IV injury. Our case was a 15-year-old boy who had a motor vehicle accident. There was swelling, ecchymosis, severe pain, and valgus deformity, because of medial proximal fracture fragment, on the left knee. We deemed that Salter-Harris type III and type IV combination fracture in our case has not been previously reported. We prepared this paper in consideration of its contribution to the literature.

A Distal Femoral Salter-Harris IV Fracture Secondary to a Motocross Accident: A Case Report

“…Comprising 1-6% of all physeal injuries and less than 1% of all fractures in the pediatric population, fractures involving the distal femoral epiphysis are uncommon causes for presentation to the emergency department [1][2][3]. The population most associated with distal femoral physeal fractures is adolescent males, although such fractures can occur in any skeletally immature patient [4].…”

Paediatric conjoint bicondylar Hoffa fracture with patellar tendon injury: An unusual pattern of injury

“…Epiphyseal injuries of distal femur are rare with an incidence of 1%–6% among epiphyseal injuries and less than one percent of all fractures in children 1 . Most of these fractures are Salter and Harris type II injuries 2, 3.…”