Reliability and necessity of computerized tomography in distal tibial physeal injuries.

Addition of CT in complex distal tibial physeal fractures did not increase interobserver reliability to classify the fracture or the treatment decision. Surgeons reported that the CT was most useful to plan screw placement and changed their treatment decision in about a fifth of the cases. Thawrani D, Kuester V, Gabos PG, Kruse RW, Littleton AG, Rogers KJ, Holmes L, Thacker MM. J Pediatr Orthop. 2011 Oct-Nov;31(7):745-50. PMID: 21926871