VERTICAL FRACTURES OF THE DISTAL TIBIAL EPIPHYSIS

Abstract
Union of the distal tibial epiphysis which begins mediocentrally extends peripherally to completion in about 18 mo. During the period of partial union; the epiphysis is vulnerable to vertical fracture in its lateral 2/3; and most fractures occur at this time. Displacement is usually not very great. Fractures of the medial 1/3 of the epiphysis show little relation to the state of epiphyseal union and have a random age incidence.

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