![]() Robert Salter and Robert Harris may have been thinking about something quite different. In other words, when there is no objective evidence of fracture. That is because Salter-Harris I fractures are typically diagnosed in the setting of normal x-rays and subjective bony tenderness at a growth plate. And yet the diagnosis is, in the overwhelming majority of cases, provisional… preliminary… potential. The infamous Salter-Harris type I fracture has, in many settings, become the most common type of pediatric ‘fracture’. In a recent issue of SMART EM we went under the evidence sea and into the depths of pediatric orthopedics, where there is a question trainees (and parents) with overdeveloped common sense have been asking for a half century: why do we immobilize bones that are clinically and radiographically normal?
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