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  • 19:32, 8 March 2022 Jeremy talk contribs uploaded File:Salter Harris IV distal tibia.jpg (Salter-Harris IV fracture of the distal tibia fracture showing the fracture line traveling through the metaphysis, through the physis, and into the epiphysis exiting in the ankle joint. Treated with open reduction and cannulated screw fixation. From https://orthopaedia.com/page/Fractures-of-the-Growth-Plate)