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Paediatric Salter-Harris type IV injury of distal tibia with talus fracture
  1. Swapnil Kothadia1,
  2. Umesh Birole2,
  3. Ashish Ranade2
  1. 1Department of Arthroscopy & Sports Medicine, Kothadia Institute of Orthopaedics, Solapur, Maharashtra, India
  2. 2Department of Orthopaedics, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India
  1. Correspondence to Dr Ashish Ranade, ranadea2{at}


Fracture of talus with Salter-Harris injury of the distal end of tibia is a rare injury in paediatric age group. The authors report a case of a 13-year-old male child who sustained type IV Salter-Harris injury to the medial malleolus with coronal spilt along with spilt and depressed fracture of the neck of talus and fracture of the lateral process of talus with stable compression fracture of spine sustained due to fall from 6 meters height. CT scan delineated the morphology of fracture pattern and helped in preoperative planning. Talar articular fracture was reduced and fixed arthroscopically while distal tibial fracture was fixed under image intensifier. We observed favourable outcome following arthroscopic reduction at 4-year follow-up.

  • orthopaedics
  • sports and exercise medicine
  • orthopaedic and trauma surgery
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  • Contributors SK is the operating surgeon for this case. He is instrumental in planning and conduct of surgery, investigation and use of arthroscopy as novel approach for management. He is keeping the follow-up of this patient since the surgery. He has provided critical data for concept and design of this case report,revising the manuscript and approval of final manuscript. UB was instrumental in collection of data, writing the manuscript, references and literature search. He has analysed the data, formulated the concept, designed and drafted the manuscript, checked for any error and kept tab on patient follow-up. He has also searched for recent advances about the topics concerned to this case report. He has done proof reading of final manuscript. AR has provided critical orthopaedic inputs, drafting of manuscript, literature search, analysis of patient’s preoperative and intraoperative imaging. He has provided scientific articles concerning the case report. He has done proof reading of final manuscript and approved the same.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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