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Abstract
A cohort of ten children with X-ray negative inversion ankle injuries were studied
using Magnetic Resonance Imaging. The images obtained were scored on six pathological
criteria. Despite all ten having normal plain radiographs, 50 per cent were found
to have direct evidence of growth plate injury. Seventy per cent of the cohort had
periosteal elevation including all those with evidence of growth plate injury. This
study supports previous work which suggested that children with ‘X-ray’ negative acute
inversion ankle injuries who exhibited the clinical signs of injury to their lower
fibular growth plate most probably have an undisplaced Salter-Harris Type 1 fracture
of this structure, despite normal radiographs.
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References
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Article info
Publication history
Accepted:
June 25,
1997
Identification
Copyright
© 1998 Published by Elsevier Inc.
