Purpose or Case Report: Ankle fractures in the pediatric population pose unique diagnostic and therapeutic challenges due to the evolving anatomy of the child. However, when knowledge of this anatomic evolution intersects with knowledge of injury mechanisms that are often at play, the radiologist can understand that pediatric ankle fractures often occur in predictable patterns. This educational exhibit explores the various classifications of pediatric ankle injuries, encompassing Dias-Tachdjian, Salter Harris, and transitional fractures. Recognizing the significant anatomical and developmental differences between skeletally immature and mature ankles, we investigate the dissimilarities in fracture patterns that emerge in these two populations. Our exhibit explores the influence of the physis, ossification centers, supporting soft tissue structures, and differing anatomical proportions on fracture patterns in these populations, providing pediatric radiologists with valuable insights into the interpretation of pediatric ankle fractures. This comprehensive overview ensures a well-rounded understanding of the unique injury patterns and facilitates improved decision-making for treatment.
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