33-E/4.2 Epi-/metaphyseal, Salter-Harris IV, multifragmentary

Fractures through the epiphysis, physis, and metaphysis (Salter-Harris IV) and at least one further metaphyseal fragment are classified as 33-E/4.2.

Fractures of this type are rare.

$Multifragmentary epi-/metaphyseal fracture (Salter-Harris IV) of the distal femur$