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PEM Ortho X-ray Curriculum

Common Presentations

SH Type Picture Involvement Consultation
I Through the physis (P) without any involvement of the metaphysis (M) or epiphysis (E). Fracture lines may not be radiographically evident if the E is not displaced or P is not widened or distorted. Radiographic confirmation of SH-I fractures may be made via seeing new bone formation along the P 7-10 days post-injury. Not required
II Through the M and P May be required
III Through the E and P. Often involve articular surfaces. More prone to chronic disability if anatomic realignment is not achieved. Usually necessary
IV Contagious fracture through the E, P and M. Prone to chronic disability. Recommended
V Crush injuries of the P. May be seen as narrowing of P. Often not radiographically visible. Recommended