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The Thurstan Holland sign or fragment, also known as the shiny corner sign, is the small
metaphyseal The metaphysis is the neck portion of a long bone between the epiphysis and the diaphysis. It contains the growth plate, the part of the bone that grows during childhood, and as it grows it ossifies near the diaphysis and the epiphyses. The metaph ...
triangular portion of bone carried with the
physis Fusis, Phusis or Physis (; grc, φύσις ) is a Greek philosophical, theological, and scientific term, usually translated into English—according to its Latin translation "natura"—as "nature". The term originated in ancient Greek philosophy, ...
in type II and IV
Salter–Harris fracture A Salter–Harris fracture is a fracture that involves the epiphyseal plate (growth plate) of a bone, specifically the zone of provisional calcification. It is thus a form of child bone fracture. It is a common injury found in children, occurring ...
s. The sign was named after the Liverpool pioneer in Radiology, Dr Charles Thurstan Holland (1863–1941).RadioGraphics 1995: Vol 15, pp. 481-488 /pubs.rsna.org/doi/pdf/10.1148/radiographics.15.2.7761652 Radiologic History Exhibit" ollandalso described the bony fragment seen with epiphyseal fractures; it was later realized that this triangular, metaphyseal fragment, known as the corner sign or Holland fragment, was the hallmark of the Salter-Harris type II epiphyseal fracture."


References

{{Orthopedics-stub Musculoskeletal radiographic signs