A 6 year-old boy presents with left wrist pain after he fell off the monkey bars onto an outstretched hand. You obtain wrist x-rays and see an abnormality. What is the most likely diagnosis, differential diagnosis, and management plan?
![](https://i0.wp.com/www.aliem.com/wp-content/uploads/2019/11/AP-salter-harris-fx-2.jpg?resize=349%2C400&ssl=1)
Figure 1. AP wrist radiograph. Courtesy of Mark Hopkins, MD.
![](https://i0.wp.com/www.aliem.com/wp-content/uploads/2019/11/AP-salter-harris-fx-3.jpg?resize=400%2C330&ssl=1)
Figure 2. Lateral wrist radiograph. Courtesy of Mark Hopkins, MD.
References:
- Black KJL, Duffy C, Hopkins-Mann C, Ogunnaiki-Joseph D, Moro-Sutherland D. Chapter 140: Musculoskeletal Disorders in Children. In: Tintanalli, J, ed. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York, NY: Mcgraw-Hill Education. 2015:916-917
- Levine RH, Foris LA, Nezwek TA, et al. Salter Harris Fractures. [Updated 2019 Aug 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430688/ PMID: 28613461