Presentation
Fall. Tender ankle.
From the case:
Salter-Harris type II fracture
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Multiple views of the right ankle demonstrate a fracture through the posterior metaphysis, extending to the growth-plate which appears disrupted, the epiphysis shifted posteriorly. The ankle joint itself appears normally aligned.
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Diagram depicting the 5 typical Salter Haris fractures, with a rough estimate of relative frequency.
Case Discussion
This is a typical example of a Salter Harris type II fracture, which is by far the most common growth plate fracture encountered.