Presentation
Skate accident. Left ankle tenderness, unable to bear weight.
Patient Data
Age: 13 years
Gender: Male
From the case:
Salter-Harris type II fracture of distal tibia
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Distal tibia physeal fracture. The fracture line passes through the metaphysis and the growth plate, characterizing a Salter-Harris type II physeal fracture.
Case Discussion
The present case is a type II Salter-Harris fracture as there is a fracture going through the growth plate to the metaphyseal region.
Salter-Harris classification is used to describe physeal fractures. The classification can be remembered using the SALTR mnemonic:
- S: slipped (type I)
- A: above or away from joint (type II)
- L: lower (type III)
- T: through or transverse or together (type IV)
- R: ruined or rammed (type V)