Due to frequent ankle sprains the patient suffered. If there is 2mm displacement then an ortho review will be required as typically this need operative management. Dr Paul Maloof with Tidewater Orthopaedics performs an ankle arthroscopy with a lateral ligament repair. The high occurrence of Salter-Harris III and IV fractures is because the lateral and deltoid ligaments insert here and they are stronger than the physis itself.Ī Tillaux fracture is a Salter-Harris III but with avulsion of the anterolateral corner of the distal tibial epiphysis.
at risk with posterolateral fibular plating posterior tibial. It goes up the back of the leg, and passes through the deep fascia. peroneus longus and brevis pass along posterior groove of lateral malleolus. The most common distal tibial epiphysis injury is a Salter Harris II The short saphenous vein runs up between the calcaneal tendon and the lateral malleolus. Salter-Harris I distal tibia fractures can be diagnosed if there is tenderness directly on the medial malleolus (rather than the ligaments) and many recommend treating as a fracture even if no radiographic fracture is noted. The lateral malleolus, felt on the outside of your ankle is the low end of the fibula The ankle joint allows up-and-down movement of the foot. If this bone is fractured and diplaced, the. All will have a fracture clinic follow up in a week or so. The lateral malleolus is the bottom portion of the fibula (smaller bone in lower leg) that connects to the foot. An undisplaced distal tibia (Salter-Harris I or II) can be managed with a long leg cast and non-weight bearing.
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