Clinical Details

Clinical and radiological findings:  An odd triplanar 3 part variant in a 13.5yo M with fracture and displacement of both the medial and lateral epiphyses - the Salter II metaphseal fragment has remained intact with the lateral epiphysis, the medial epiphysis has separated sagittaly as a Salter type III and displaced posteriorly. There is likely periosteal continuity between the Salter II metaphyseal frgament and the medial malleolus, hence them travelling together. Resembles the 4 part subclassification of the triplanar (pictured) but not quite.