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There is a complex fracture involving right distal tibial metaphysis and extends down to the medial aspect of the tibial epiphysis and medial malleolus. The mentioned fracture is also involving the anterolateral aspect of the epiphyseal plate.
The fracture is running vertically in the metaphysis, horizontally in the physis and obliquely in the epiphysis with extension to medial malleolus without affecting articular surface or reaching joint space.
Intact distal fibula and tibiofibular syndesmosis. Intact tarsal bones. Intact mortice surface of the talus.
Os trigonum is seen posterior to the talus.