- Discussion:
- displaced
SH III &
IV frxs of
distal tibia require open reduction.
- left unreduced, this injury leads to
premature physeal closure unless
anatomically reduced.
- Diff Dx:
- Three Part Triplane Frx:
- appears as SH type III frx on AP view & type II on lateral;
- Tillaux Frx:
- Kleiger frx:
- type of SH type III frx;
- occurs in adolescence;
- involves variably-sized section of anterolateral tibial epiphysis;
- this portion of epiphysis is involved because physis of distal
tibia closes in the middle first.
- medial portion then closes, and finally, the lateral portion;
