f Fracturas extra-articulares de la rodilla - Clasificación de Salter y Harris Parte 2 | Todo sobre Fisioterapia

viernes, 30 de noviembre de 2018

Fracturas extra-articulares de la rodilla - Clasificación de Salter y Harris Parte 2

Tipo III. 

En estas fracturas, parte del trayecto también es una separación fisaria pura pero, en un punto determinado, se produce una inflexión y cruza la fisis y la epífisis hasta llegar a la superficie articular. Están producidas por un mecanismo de cizallamiento intraarticular.

 Tipo IV. 

En este tipo, la línea de fractura comienza en la superficie articular y atraviesa, casi perpendicularmente, la epífisis, la fisis y la metáfisis.

Suelen ser consecuencia de fuerzas de avulsión o cizallamiento.
La gravedad las fracturas tipos III y IV estriba en dos puntos: el trayecto es intraarticular y la comunicación epifiso-metafisaria que se produce hace posible la formación de puentes óseos.

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