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Resolution of the case is described on the next page.
Diagnosis: The x-ray reveals a Salter-Harris III fracture of the distaltibia (arrow). Salter-Harris III fractures involve the epiphysis and physis. This child’s growth plates have already begun to fuse. Urgent follow up with orthopedics is necessary for this fracture. Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge: December, 2013
Nahum Kovalski, BSc, MDCM
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