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Delayed Diagnosis of Salter-Harris Type II Fracture in a Pediatric Patient: A Case Report and Review of Diagnostic Challenges
We present a case of an 8-year-old male who sustained a Salter-Harris type II fracture of the distal radius following a fall from playground equipment. Initial radiographs were interpreted as normal, leading to a 7-day delay in diagnosis. This case highlights the importance of obtaining comparison views in pediatric patients with suspected physeal injuries and demonstrates the subtle radiographic findings that may be easily overlooked...
Salter-Harris Type I Fracture of the Distal Fibula Mimicking Ankle Sprain: A Diagnostic Pitfall in Pediatric Sports Injuries
A 12-year-old female soccer player presented with ankle pain following an inversion injury during competition. Initial evaluation suggested ankle sprain, but persistent symptoms led to further investigation revealing a Salter-Harris Type I fracture of the distal fibula. We discuss the clinical and radiographic features that distinguish growth plate injuries from soft tissue injuries in the pediatric ankle...
Triplane Fracture with Associated Salter-Harris Type IV Component: A Complex Pediatric Ankle Injury Requiring Surgical Management
Triplane fractures represent complex transitional fractures of the distal tibia that occur during physeal closure. We report a case of a 14-year-old male with an unusual triplane fracture pattern incorporating a Salter-Harris Type IV component requiring open reduction and internal fixation. CT imaging was crucial for surgical planning, and anatomic reduction was achieved with screws avoiding the physis...
Growth Disturbance Following Salter-Harris Type V Injury: Long-term Follow-up of a Rare Physeal Compression Fracture
Salter-Harris Type V injuries are rare compression fractures of the physis that are often initially occult on radiographs and diagnosed retrospectively when growth disturbance becomes apparent. We present a 9-year-old patient with a distal femoral physeal injury that was initially undetected but resulted in significant leg length discrepancy and angular deformity at 2-year follow-up...
MRI-Confirmed Salter-Harris Type III Fracture of the Distal Tibia in a Gymnast: The Value of Advanced Imaging in Occult Physeal Injuries
A 13-year-old competitive gymnast presented with persistent ankle pain 3 weeks after a landing injury. Plain radiographs showed subtle irregularity of the medial tibial plafond. MRI revealed a non-displaced Salter-Harris Type III fracture with articular involvement. This case demonstrates the utility of MRI in detecting occult intra-articular physeal fractures when clinical suspicion remains high despite inconclusive radiographs...
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