Christy Blaire Pomeranz MD, Presenter: Nothing to Disclose

Roger J. Bartolotta MD, Abstract Co-Author: Nothing to Disclose

Pediatric distal tibial fractures require detailed radiologic evaluation with regard to both displacement and physeal involvement in order to guide appropriate management. This exhibit enables the reader to: 1. Apply Salter-Harris fracture classification with regard to the closure pattern of the distal tibial physis 2. Understand which patients need CT in order to minimize radiation exposure 3. Review anatomic and mechanistic classifications for distal tibial fractures 4. Maximize the reporting of critical information (alignment, classification) that would alter management  

This exhibit reviews the mechanism, imaging, and treatment of each of the following fracture patterns: 1. Anatomic Classification:              a. Salter-Harris (SH) I & II distal tibial fractures              b. Juvenile Tillaux fracture (SH III)              c. Intra- and Extra-Articular Triplane fracture (SH IV) 2. Diaz and Tachdijan Classification:             a. Supination-Inversion             b. Supination-Plantar Flexion             c. Supination-External Rotation             d. Pronation-External Rotation  

http://abstract.rsna.org/uploads/2014/14013226/14013226_lvaf.pdf

Pomeranz, C, Bartolotta, R, Pediatric Distal Tibial Fractures: What the Emergency Radiologist Needs to Know.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14013226.html