If there is 2mm displacement then an ortho review will be required as typically this need operative management. This could be caused by a heavy object falling on the foot or heavy machinery running over the ankle. The high occurrence of Salter-Harris III and IV fractures is because the lateral and deltoid ligaments insert here and they are stronger than the physis itself.Ī Tillaux fracture is a Salter-Harris III but with avulsion of the anterolateral corner of the distal tibial epiphysis. Intense force to the ankle can cause crush injury and fracture. If you heard a snap or breaking sound at the time of injury, however, that’s a good sign your toe is broken. Ankle fractures are increasingly common injuries that necessitate a careful approach for proper management. This creates an image using soundwaves that enables Dr. Sprained, strained, stubbed, and bruised toes can be quite painful. The most common distal tibial epiphysis injury is a Salter Harris II The cause of your ankle discoloration is evaluated by using a color duplex ultrasound. Salter-Harris I distal tibia fractures can be diagnosed if there is tenderness directly on the medial malleolus (rather than the ligaments) and many recommend treating as a fracture even if no radiographic fracture is noted. All will have a fracture clinic follow up in a week or so. A player also may be hit directly by another player or run into an immovable object like a goalpost. An undisplaced distal tibia (Salter-Harris I or II) can be managed with a long leg cast and non-weight bearing. Most fractures happen during sports when a player rolls or twists an ankle on an uneven surface, such as when stepping into a hole or onto another player’s foot.
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