Salter-Harris type IV fracture of distal tibia with components in all 3 planes
Planes
Epiphysis fractured through sagittal plane
Physis fractured transversely (lateral open end to medial fused end)
Metaphysis fractured in coronal plane
Occurs typically in adolescents, between ages 10-17
Physiological closure of the growth plate begins medially
Lateral growth plate is open and vulnerable to this type of fracture
Typically a result of external rotation force
Planes
Epiphysis fractured through sagittal plane
Physis fractured transversely (lateral open end to medial fused end)
Metaphysis fractured in coronal plane
Epiphysis fractured through sagittal plane
Physis fractured transversely (lateral open end to medial fused end)
Metaphysis fractured in coronal plane
Physiological closure of the growth plate begins medially
Lateral growth plate is open and vulnerable to this type of fracture
Triplane fracture
Tibial plateau fracture
Segond fracture
Tibial shaft fracture
Capitate fracture
Pilon fracture
Chance fracture
Maisonneuve fracture