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Fractures of the Distal Tibial Metaphysis



- Green Stick Fractures:
     - anterior cortex becomes impacted, & posterior cortex is frx w/ torn periosteum;
     - there is a visible recurvatum deformity;
     - Treatment:
           - reduction w/ general anesthesia because considerable force is required to stretch the anterior cortex;
           - then a long leg cast is applied with the foot in plantar flexion for 3 to 4 wks then short leg cast