Classification of Growth Plate Fractures

Salter Harris

SH I
- Cleavage through physis
SH II
- Cleavage through physis with attached metaphyseal fragment
SH III
- Cleavage through physis with attached epiphyseal fragment (fracture exits into joint)
SH IV
- Fracture extending from metaphysis to epiphysis across growth plate
SH V
- Crush fracture of physis

Ogden

Ogden VI
- Peripheral fracture across physis remaining extra-articular
Ogden VII
- Fracture of epiphysis
Ogden VIII
- Fracture of metaphysis with disruption of blood supply to physis
Ogden IX
- Periosteal damage affecting later growth