MRI identification of anatomical distribution of periosteal entrapment and its clinical outcomes in pediatric distal tibial Salter-Harris type II fractures

Distal tibial S-H type II physeal fractures are at high risk of concomitant periosteal entrapment, which is localized predominantly to the anterolateral corner of the distal tibial physis. Conservative management, CR-PF, and ORIF resulted in comparable functional outcomes without significantly increasing the risk of growth disturbances, indicating that residual entrapped periosteum may not adversely affect fracture healing or long-term prognosis.