Salter-Harris (SH) type III avulsion fracture of the lateral distal tibial epiphysis
Occurs with traumatic external rotatory force pulling on the anterior inferior talofibular ligamen...
Forceful supination and external rotation with compression stress
Also seen with internal rotation of the lower leg on a firmly planted foot
Acute anterolateral ankle pain
Reported pain ...
Initial: immobilization, non–weight-bearing, ice, elevation, acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs)
Nondisplaced or minimally displaced fractures (<2 ...
Follow-up with x-rays, typically every 2 wk
Evaluate for varus or valgus deformity.
After 4 wk of immobilization, progress to walking cas...
Possible complications include posttraumatic arthritis and asymmetric physeal growth.
If treated nonoperatively, 4 wk non–weight-bearing followed by 2 to 4 wk in a walking cast or cam w...
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