title: Fracture of the distal end of the fibula through a persistent physis in an adult with fracture of the medial malleolus.
abstract: A 26-year-old woman was injured in a motor vehicle accident and sustained a bimalleolar fracture of the right ankle. Radiographs revealed a shearing fracture of the medial malleolus and a gap in the distal end of the right fibula that resembled epiphysiolysis in children. Fracture of the distal end of the fibula through a persistent physis was suspected. Histological examination of material obtained from the fracture site during surgery revealed remnants of hyaline cartilage. We believe that the fracture occurred at a persistent physis of the distal end of the fibula.
authors.affiliation: Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Minami 1-jo, Nishi 16-chome, Chuo-ku, Sapporo 060-8543, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nagoya
authors.forename: Masanori
authors.initials: M
authors.lastname: Obata
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Yamashita
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002356:Cartilage / Q000473:pathology; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006132:Growth Plate / Q000002:abnormalities*; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography