Presentation
Football injury.
Patient Data
Age: 15 years
Gender: Male
From the case:
Cleft epiphysis - tibia
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There is a longitudinal lucency projected across the middle of the tibial epiphysis. There is apparent widening of the physis laterally.
Case Discussion
This longitudinal lucency projected across the epiphysis is not a fracture (it would be a Salter-Harris III), but a cleft epiphysis. There are normal developmental variants and can be mistaken for fractures.
In this case, the clinical team were not concerned about a fracture and after discussion with orthopedics, the child was mobilized and at the returns clinical was symptom free 48 hours later. No further radiographs were taken.