Medicine (MD/DO)
Internal Medicine
Guidelines, Criteria & Classifications
Salter-Harris Fracture Classification

Master Salter-Harris Fracture Classification with Picmonic for Medicine

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing.

Salter-Harris Fracture Classification

Recommended Picmonics

picmonic thumbnail
Thyroid Function Screening Tests
picmonic thumbnail
Wells' Criteria for Pulmonary Embolism
picmonic thumbnail
Light's Criteria
picmonic thumbnail
Systemic Inflammatory Response Syndrome (SIRS) Criteria
picmonic thumbnail
Duke Criteria for Infective Endocarditis

Salter-Harris Fracture Classification

Assaulting Harrison Ford with Fracture Classifications
The Salter-Harris Fracture Classification system is designed to classify physeal fractures based on their relationship to the growth plate. Correct classification is crucial because the type of fracture will determine both treatment and prognosis. SALTER is a mnemonic which stands for S- Straight Across, A - Above, L - Lower or beLow, T - Two or Through, ER - ERasure of growth place or cRush.

A common mnemonic used to remember the Salter-Harris Fracture classification system based on which portion of the physeal growth plate is involved. It includes S- Slipped, M- Metaphysis, A- Articular, C - Complete, K - Krushed.

Slipped Across Physis (Type 1)
Slipping Fracture Across Physis with 1

A fracture of the physeal hypertrophic zone, with no involvement of the growth zone. Any issues with growth and development from this kind of fracture are rare. The width of the physis will be widened slightly and the child will often present with pain at the site of the epiphyseal plate.

Metaphysis and Physis (Type 2)
Fracture through Metaphysis and Physis with 2

The most common type and is “Above” the growth plate involving the metaphysis and physis without involving the epiphysis. Minimal shortening of the limb is possible with Type 2 injuries and any future functional issues are rare.

Articular-Epiphyseal (Type 3)
Articular Fracture with 3

This involves a hypertrophic fracture of the physis which extends into the epiphysis. This kind of fracture compromises the growth plate and can lead to chronic disability, though deformities are still rare with Type 3’s. Surgery is often required to repair a Type 3 Salter-Harris fracture before it can cause growth and development issues.

Complete Metaphysis and Epiphysis (Type 4)
Complete Fracture through Metaphysis and Epiphysis with 4

A fracture of the epiphysis, metaphysis and physis which can result in chronic disability. If left untreated, it can also lead to premature focal fusion of the joint and thus joint deformity.

Krushed Physis (Type 5)
Krushed Physis with 5

This refers to a compression or crushing injury of the epiphyseal plate due to an axial load injury. It is associated with growth retardation of the affected limb and has a poor functional prognosis. Diagnosis is often difficult.


Take the Salter-Harris Fracture Classification Quiz

Picmonic's rapid review multiple-choice quiz allows you to assess your knowledge.

It's worth every penny

Our Story Mnemonics Increase Mastery and Retention

Memorize facts with phonetic mnemonics

Unforgettable characters with concise but impactful videos (2-4 min each)

Memorize facts with phonetic mnemonics

Ace Your Medicine (MD/DO) Classes & Exams with Picmonic:

Over 1,900,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Medicine (MD/DO) student study app.

Picmonic for Medicine (MD/DO) covers information that is relevant to your entire Medicine (MD/DO) education. Whether you’re studying for your classes or getting ready to conquer the USMLE Step 1, USMLE Step 2 CK, COMLEX Level 1, or COMLEX Level 2, we’re here to help.

Works better than traditional Medicine (MD/DO) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.