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Fig. 4. —13-year-old boy with distal tibial physeal bridge 6 months after Salter-Harris type 4 fracture. Sagittal fat-suppressed fast spin-echo proton density-weighted MR image (TR/TE, 2,000/14) shows several sites (arrows) of metaphyseal high signal intensity consistent with cartilage extensions. Associated physeal bridge is suggested as area (arrowheads) of physeal narrowing and diminished signal intensity. Fat-suppressed three-dimensional spoiled gradient-recalled echo images (not shown) showed clear bone bridge. Higher signal intensity linear focus noted more superiorly in metadiaphysis is related to healing fracture line.

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