SalterHarrisKlassifikation

The Salter-Harris classification is a widely used system for categorizing fractures of the proximal humerus, which is the upper part of the arm bone. This classification was developed by Salter and Harris in 1963 and has since become a standard in orthopedic surgery and trauma medicine. The system is particularly important for surgical planning and prognosis, as it helps in determining the appropriate treatment and predicting the likelihood of successful union and functional recovery.

The Salter-Harris classification divides proximal humerus fractures into five types, each with distinct characteristics:

Type A: Transverse fracture of the surgical neck. This is the most common type and typically involves a clean break through the surgical neck of the humerus.

Type B: Oblique fracture of the surgical neck. This type involves a fracture that extends through the surgical neck at an angle, often requiring more complex surgical repair.

Type C: Fracture through the surgical neck and the greater tuberosity. This type is more severe and can be challenging to treat, often requiring open reduction and internal fixation.

Type D: Fracture through the surgical neck, greater tuberosity, and the lesser tuberosity. This is the most severe type, often requiring extensive surgical intervention and has a poorer prognosis.

Type E: Fracture through the surgical neck, greater tuberosity, lesser tuberosity, and the humeral head. This type is extremely rare and typically requires complex reconstructive surgery.

Each type of fracture has different implications for surgical management, rehabilitation, and long-term outcomes. The Salter-Harris classification is essential for orthopedic surgeons in making informed decisions about treatment strategies, including whether to use open reduction and internal fixation, closed reduction, or other surgical techniques. It also aids in predicting the likelihood of successful union and functional recovery, which is crucial for patient care and rehabilitation planning.