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Wheeless' Textbook of Orthopaedics
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Pediatric Distal Tibial Fracture



- See:
      - Fractures of Distal Tibial Metaphysis
      - Pediatric Ankle Fractures:
      - Stage II Supination:
      - Salter Harris III:
      - Salter Harris IV:
      - Triplane Fracture:

- Angular Deformity:
    - varus deformities most common complication found w/ distal tibia growth plate
          injuries 2nd to osseous bridge on medial portion of epiphyseal plate;

- Limb Shortening:
    - 2nd most common problem;

- Misc:
    - medial malleolar ossicle:
     




Salter-Harris Type-IV injuries of the distal tibial epiphyseal growth plate,
      with emphasis on those involving the medial malleolus.

Distal tibial physeal fractures in children that may require open reduction.

Epiphyseal fractures of the distal ends of the tibia and fibula:   A retrospective study of 237 cases in children.
      Spiegel PG, Cooperman DR, Laros GS:   J Bone Joint Surg 1978;60A:1046-1050.

Balthazar D, Pappas A:   Acquired valgus deformity of the tibia in children. J Pediatr Orthop 1984;4:538-541.

Fracture of the lateral portion of the distal tibial epiphysis. Kleiger B, Mankin HJ: J Bone Joint Surg (Am) 1964;46A:25.

Outcome of physeal and epiphyseal injuries of the distal tibia with intra-articular involvement.

Outcome of Physeal and Epiphyseal Injuries of the Distal Tibia With Intra-Articular Involvement.




















Original Text by Clifford R. Wheeless, III, MD.