Salter-Harris type IV fracture of distal tibia

Case contributed by Servet Kahveci
Diagnosis certain

Presentation

Trauma, pain and soft tissue swelling over the ankle joint

Patient Data

Age: 9 years
Gender: Female

Distal tibia fracture. Fracture line passes directly through the metaphysis, growth plate and down through the epiphysis, in keeping with Salter-Harris type IV fracture. Ankle joint effusion is seen on lateral view. Soft tissue swelling is also noted.

Case Discussion

Salter-Harris type IV fractures are intra-articular injuries which have a poor prognosis due to articular cartilage damage. Therefore, these fractures require urgent orthopedic evaluation.

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