MRCP UK EXAMINATIONS

CARDIOLOGY

EISENMENGER S SYNDROME

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 14 year old boy presents to the emergency department after injuring his right arm during football practice. A plain radiogram of the right forearm is consistent with a type IV Salter Harris fracture of the distal radius. Which of the following best describes a Salter-Harris type IV fracture?
A
A fracture through the physis and adjacent epiphysis
B
A fracture through the physis and adjacent metaphysis
C
A crush injury
D
A fracture through the physis, adjacent metaphysis and epiphysis
Explanation: 

Detailed explanation-1: -A Salter-Harris type I fracture refers to a fracture line that runs straight across the growth plate, involving the cartilage without affecting the bone. Type I may cause the epiphysis, or the rounded end of the bone, to separate from the rest of the bone.

Detailed explanation-2: -A Salter-Harris type 1 fracture is the mildest type of fracture that can occur to a growth plate. The distal fibula is the bone on the outside of the ankle. This injury typically occurs after inverting, or rolling the ankle.

Detailed explanation-3: -Type II fractures involve a break from the growth plate up into the metaphysis, with the periosteum usually remaining intact. Type III fractures are intra-articular fractures through the epiphysis that extend across the physis. Type IV fractures cross the epiphysis, physis, and metaphysis.

There is 1 question to complete.