PMC4623535_01
Anteroposterior and lateral radiographs demonstrating a Salter-Harris Type 1 fracture to the right index finger distal phalanx.
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F0001
Radiographs showed a physeal injury of the distal phalanx with an associated fracture split extending to the tip (Figure 1a and b ).
Intra-operative images demonstrating the dorsally displaced epiphysis (a) and appearances once reduced (b).
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F0002
The articular surface was rotated nearly 180  and facing the fingertip (Figure 2a ).
Intra-operative radiograph demonstrating reduced epiphysis (a). Post-operative radiograph at 6 weeks indicating subtle displacement of the epiphysis (b and c).
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F0003
Therefore, no fixation was required (Figure 3a ). Radiographs taken at 6 weeks demonstrate some extension type displacement of the epiphysis (Figure 3b and c ).
Radiographs at 2 years demonstrating good coronal alignment on the anteroposterior view (a). However, premature fusion of the physis has occurred with a degree of malunion on the lateral view (b).
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F0004
At 2 years, the radiographs illustrate premature fusion of the physis with a degree of malunion (Figure 4a and b ).