Tillaux fracture of the distal tibia. The medial aspect of the epiphysis is closing. The fracture line runs vertically through the epiphysis (black arrow) and then laterally along the open and slightly widened physis (white arrow).
Reproduced with permission from: Baskin M. Trauma: Extremeties. In: Atlas of Pediatric Emergency Medicine, Fleisher GR, Ludwig S, Baskin M (Eds), Lippincott Williams & Wilkins, Philadelphia 2004. Copyright © 2004 Lippincott Williams & Wilkins.
www.lww.com.