Distal tibial fracture: Salter-Harris type III
Ankle injury in basketball match.
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Salter-Harris type III fracture:
Horizontal fracture through the medial growth plate with a vertical fracture through the medial aspect of the ephiysis.
Intra-articular fractures during childhood are injuries with potential complications.
Transitional fractures show a different fracture pattern comparing to fractures with wide open physis (Salter and Harris I-IV).
Conventional X-rays are the first radiographic modality.
Patients seem to benefit from an additional cross-sectional image, which includes CT or MRI to evaluate if an anatomic reconstruction of the articular surface is necessary.
- Su AW, Larson AN. Pediatric Ankle Fractures: Concepts and Treatment Principles. Foot Ankle Clin. 2015;20 (4): 705-19. doi:10.1016/j.fcl.2015.07.004 - Pubmed citation
- Nenopoulos A, Beslikas T, Gigis I et-al. The role of CT in diagnosis and treatment of distal tibial fractures with intra-articular involvement in children. Injury. 2015;46 (11): 2177-80. doi:10.1016/j.injury.2015.07.017 - Pubmed citation