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CRITOE
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![Initial X Ray of a Salter Harris II growth plate injury of the distal tibia](ankle.jpg) |
Initial X ray showing gross displacement |
![X Ray showing unsatisfactory closed reduction - due to periosteum in the fracture line through the growth plate](ankle1.jpg) |
After closed reduction: The medial growth plate is still
widened, a sign of periosteal interposition |
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Open reduction was required to remove the periosteum from the ruptured growth plate |
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