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Case of the Week 518



What is the most likely diagnosis?

  • 10 year-old with pain in ankle



Frontal radiograph of ankle

  1. Rheumatoid Arthritis
  2. Nutrient canal
  3. Salter-Harris III Fracture
  4. Lead Poisoning
  5. Osteomyelitis

Additional Images-None

 

Additional Images

 

 

None


Answer:

 

3. Salter-Harris Type III Fracture

 

More (Click Discussion Tab)

 

 

Salter-Harris Fractures

General Considerations

  • The epiphyseal plate (physis or growth plate) is the weakest part of the bone to shearing injuries
  • The Salter-Harris classification is a means of categorizing epiphyseal plate fractures and provides clues to their prognosis
  • All such these fractures, by definition, involve or extend through the epiphyseal plate so that all such fractures occur in children before the epiphyseal plate closes

    MORE . . .

     


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