E2114. Pediatrics Ankle Fractures: What the Radiologist Should Know
  1. Anas Saeed Bamashmos; Yale New Haven Health - Bridgeport Hospital
  2. Abdullah Binsaeedu; Alfaisal University – College of Medicine
The ankle is considered the weight bearing bridge that connects the leg and foot serving a crucial importance in normal ambulation. Ankle fractures are among the most common lower extremity fractures in older children. Nonetheless, due to the unique anatomy and biomechanics of the ankle, these injuries are notorious for complications and long-term disability. Early recognition of these injuries as well as accurate classification and categorization are important for choosing the appropriate management option. Treatment strategies and outcomes vary significantly, depending on the location and the type of injury. In this educational exhibit, we present multiple pediatrics ankle fractures cases in an engaging format.

Educational Goals / Teaching Points
Elucidate the normal radiological anatomy of the ankle joint. Describe the most common pediatrics ankle fractures and their mechanism of injury with valuable learning pearls and pitfalls. Summarize the Salter Harris classification system. Explain the pattern of growth plate closure and unique associated injury. Discuss the most common and management options for pediatrics ankle fractures. Illustrate the most important post management complications.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Overview of ankle anatomy and biomechanics. Epidemiology of pediatric ankle fractures. Pediatrics ankle fractures and their mechanism of injury. Salter Harris classification systems. Management options for pediatric ankle fractures. Post management complications for pediatrics Ankle fractures.

The unique anatomy of the ankle and distinctive growth plate closure pattern make detecting pediatric ankle fractures critical for best patient outcomes. The accurate detection and classification in addition to the early management may have a profound impact on the prognosis of the patient and their lifestyle. Being familiar with theses radiological findings is the key for timely diagnosis and classification of pediatrics ankle fractures.