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Salter-Harris type II fracture

Case contributed by Hani Makky Al Salam
Diagnosis certain
x-ray

Physeal fracture of the distal fibula. It is best seen on the oblique view and is displaced. There is a tiny metaphyseal fragment making it a type II Salter-Harris fracture.

x-ray

Zoomed view of the oblique x-ray highlighting the displaced fibular fracture. There is tiny ossific density from the metaphysis attached to the fracture fragment.

Case Discussion

Salter-Harris fracture of the distal fibula. These are almost always Salter-Harris type II fractures, even if the metaphyseal fragment is tiny.

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