f Fracturas extra-articulares de la rodilla - Clasificación de Salter y Harris | Todo sobre Fisioterapia

viernes, 23 de noviembre de 2018

Fracturas extra-articulares de la rodilla - Clasificación de Salter y Harris

Está en parte basada en la clasificación preconizada 65 años antes por J. Poland y, en ella, se distinguen cinco grandes grupos (Fig. 1):

• Tipo I.

Similar al grupo I de Poland y consiste en una separación completa epifiso-metafisaria, normalmente como resultado de la aplicación de fuerzas de avulsión o cizallamiento.

• Tipo II.

Es el tipo más común de fractura fisaria. Es muy parecido al tipo I pero, en ésta, el trazo de fractura, después de transcurrir a lo largo de la mayor parte de la fisis se adentra en la metáfisis, quedando por tanto un pequeño fragmento de la misma, generalmente triangular, unido a la fisis y epífisis (signo de Thurston Holland). Generalmente estas fracturas se producen por la combinación de fuerzas de flexión lateral (varo valgo) y cizallamiento.

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