Salter Harris III ankle fracture
A 13 year old boy was brought to the ED with a swollen left ankle upon which he could not weight bear. He had jumped onto an embankment and sustained a dorsiflexion injury.
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There is a vertical fracture in the tibial plafond extending to the articular surface with a 3mm gap and no step. The growth plate is involved laterally. This is a Salter-Harris type 3 fracture. There is soft tissue swelling overlying. No other fracture is demonstrated.
The patient was offered ORIF due to displacement >2mm