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- Discussed:
    - displaced SH III & IV frx of distal tibia require open reduction;
    - this frx is assoc w/ premature physeal closure unless anatomically reduced;
- Diff Dx:
    - Two Part Triplane Frx
    - Tillaux Frx

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