Prognosis is poor unless reduction is maintained. Results from a crush injury through the epiphysis to a portion of the epiphyseal plate. Usually occurs in a joint that has only one plane of movement. Most commonly seen in the knee and ankle. Initial radiographs tend to be normal and so must suspect this fracture from the mechanism of injury.
Results are poor with premature cessation of growth.
Nontraumatic events causing a Salter V type of injury are metaphyseal osteomyelitis and epiphyseal aseptic necrosis. Salter V can occur in conjunction with Salter I, II, and III fractures and not be recognized until growth arrest occurs. Treat with 3 weeks of no weight bearing. Complications Immediate complications, within the first few hours, include hemorrhage, damage to arteries, and damage to surrounding soft tissues. Early complications, within the first few weeks, include wound infection, fat embolism, shock lung, chest infection, DIC, and exacerbation of general illness.