Unusual juvenile ankle fracture: explanation and surgical repair

Juvenile ankle fractures are reasonably common, comprising approximately 11% of all epiphyseal injuries. They are more common in males and occur most frequently in the age distribution of 11 to 15 years. They characteristically fall into one of the Salter-Harris classification patterns; however, atypical cases do occur that present classification problems and treatment consideration questions. An illustrative case is presented with an explanation, to alert the clinician to these situations and provide a basis for care.