Cleft epiphysis - tibia

Case contributed by Dr Jeremy Jones


Football injury.

Patient Data

Age: 15 years
Gender: Male

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.

PlayAdd to Share

Case information

rID: 24381
Published: 11th Aug 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.