Distal tibial Salter-Harris II fracture

Case contributed by Dr Jeremy Jones


Injury to ankle while playing football. Tender lateral malleolus.

Patient Data

Age: 8 years
Gender: Male

Normal appearances on the frontal radiograph with no significant soft-tissue swelling.

Small joint effusion on the lateral view and an oblique lucency that is projected over the posterior portion of the distal tibial metaphysis. In addition, the anterior physis is widened.

Case Discussion

This case shows the importance of looking carefully at the tibia and fibula on the lateral view. The oblique fracture extends through the metaphysis to the physis and the anterior physis is widened. Appearances here are of a Salter-Harris type II fracture.

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Case information

rID: 65849
Published: 26th Jan 2019
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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