The distal tibial epiphyses may be damaged, when the ankles are injured in children.
Injuries involving the epiphyseal plate present special problems in diagnosis and management.
In our clinic, we have experienced fifteen injuries of the ankles during past ten years.
In eleven of these ankles, epiphyseal plates were injured.
These were classified according to the Salter-Harris method.
The second type was eight, the fourth type was two and the degloving injury one.
The second type produced by abduction injuries were easily reduced by the manipulation and the prognosis of this type was good.
The fourth type produced by adduction injuries must be reduced exactly by the operation.
In this type, growth plate damages were common and progressive deformities were occured.
The degloving injury removed the perichondrial ring and permitted bony bridging between the epiphysis and metaphysis.
In this type, varus deformity was occured by the bone bridge.
