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Periosteal Interposition Periosteal Interposition within a Salter Harris Type 2 Fracture.
Top images: Arrow points to Salter II fracture of the posterior distal tibial metaphysis. Middle images and bottom left image: Arrows point to a dark curvilinear structure displaced into the widened anterolateral distal tibial growth plate. Bottom right image: Arrow shows adjacent anterior tib-fib ligament look intact.