- See:
Adult SER Frx:
- Stage I:
- SH II frx of distal tibial physes w/ long spiral frx of distal tibia, which starts laterally at
the growth plate, and progresses medially, proximally, and posteriorly;
- metaphyseal fragment is localized posterio-medially;
- on lateral radiographs, the SH II frx w/ the posteromedial metaphyseal fragment may
resemble a
supination-plantar flexion frx;
- the distinction between the 2 frx is made on the AP view;
- Stage II:
- if external rotational force continues, a spiral frx of fibula is seen,
starting medially and running superiorly and posteriorly;
- Radiographs:
Roentgen stereophotogrammetric analysis of growth pattern after supination--eversion ankle injuries in children.
