School ager who fell off an all terrain vehicle

Radiograph of Salter Harris Type II fracture of the ankle
AP radiograph of the ankle shows a fracture line through the distal physis of the tibia that extends superiorly into the tibial metaphysis and the tibial fracture fragments are not in anatomic alignment and apposition. There is also a comminuted fracture of the distal fibular metaphysis and the fibular fracture fragments are not in anatomic alignment and apposition.

The diagnosis was Salter Harris fracture Type II of the tibia and a complete fracture of the fibula.