Salter-Harris type II fractures of the capital femoral epiphysis

Salter-Harris type II fractures of the capital femoral epiphysis have not b een previously documented. The authors have treated three patients who sust ained four such fractures. One child had a recurrent fracture two years aft er the first had healed satisfactorily. Two fractures were treated by spica cast immobilization, one fracture by closed reduction and internal fixatio n, and the other fracture healed without treatment. No patient developed av ascular necrosis or other complications. Two of the children had an associa tion with idiopathic slipped capital femoral epiphysis. An etiologic relati onship with slipped capital femoral epiphysis, if any, is uncertain.