<prompt> A 4 years old child suffered from a fall on outstretched hand. X rays revealed a fracture with the fracture line at the physes with a small metaphyseal fragment. There was no epiphyseal fracture. What type of injury by Salter harris Classification is this?IIIIIIIV  <response>: Refer: Mohindras Fundamentals of Orthopedics, 2nd edition, pg no. 510Type II: the fracture involves the physis and a triangle of metaphyseal bone Thurston Holland sign. This is the commonest type of epiphyseal injury accounting for 73 percent of cases over 10 years of age. 