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Uncommon Injury of the Distal Tibial Epiphysis in a Child: A Case Report

Background: Distal epiphyseal injuries of the tibia in growing children are usually classified according to the classification of Salter Harris into 5 types, but if the physis is not injured, the Salter-Harris-classification does not apply; instead the Ogden classification can be used.

Findings: We report the case of a distal epiphyseal avulsion fracture of the tibiofibular junction, classified as Ogden VII injury.

Conclusions: A CT scan performed in intraepiphyseal avulsion fractures of the tibia to classify it correctly. The Salter-Harris classification cannot be applied for epiphyseal avulsion fractures, which do not traverse the physis. Conservative management is possible.


Blanca Schuster, Johannes Mayr and Enrico Brönnimann

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