Injuries of the distal tibial epiphysis: Systematic radiographic evaluation

G. A. Mac Nealy, L. F. Rogers, R. Hernandez, Andrew K Poznanski

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


The site of injury to the distal tibial epiphysis in the younger individual depends on the relation of the ligaments to the epiphysis, the type of injury, and the maturity and degree of closure of the growth plate. A characteristic radiographic pattern of injury occurs as a result of each particular injuring force, which in turn requires a specific mode of fracture reduction. One hundred and ninety-four cases of epiphyseal injuries were reviewed, and the incidence and diagnostic characteristics of the various types are presented. The Salter-Harris classification of lesions reveal that type II is the most common (46.4%), followed by type III (25.2%), type IV (10.3%), and type I (5.7%). The triplane fracture constituted 9.8%, and miscellaneous injuries, which could not be classified, were 2.6%.

Original languageEnglish (US)
Pages (from-to)683-689
Number of pages7
JournalAmerican Journal of Roentgenology
Issue number4
StatePublished - Jan 1 1982

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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