Sesamoid fractures are uncommon, and may be mistaken for a simply bipartite sesamoid. The radiographic appearance in this case suggests fracture, as the fracture fragments are not corticated along the fracture line, together would be nearly exact.
This is a classic case of Tillaux fracture of the distal tibia. The mean age for Tillaux fracture is 14 years old for male and 12 years old for female. The distal tibia physis closure begins centrally in a region known as "Kump's bump".
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