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Describe what you see.

When does this fracture pattern occur?

In what order does the distal tibial growth plate close and why important?

What Salter-Harris type is this fracture? Through which layer of the physis does the fracture normally occur and why?

If you saw a Salter-Harris type III on the AP view of the ankle and Salter-Harris type II, what would you be dealing with?

How would you fix this fragment on the x-rays above?

Is a transphyseal screw contraindicated?

 

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Good Luck!

FRCS Ortho Team