ABSTRACT

A 12-year-old girl was running down the stairs and jumped down the last five steps, landing on her right foot. She had immediate pain and was unable to ambulate. Her exam was significant for diffuse pain and swelling of the ankle joint. The following images were obtained: https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429435003/2bb12154-e53e-46cc-a47b-000836900a25/content/ufig90_1.jpg"/> https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429435003/2bb12154-e53e-46cc-a47b-000836900a25/content/ufig90_2.jpg"/> https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429435003/2bb12154-e53e-46cc-a47b-000836900a25/content/ufig90_3.jpg"/>

Using the Salter-Harris (S-H) classification, what type of fracture is this?

Which Salter-Harris fracture has the best prognosis? Which has the worst?