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This is a fibula fracture with a tear of the deltoid ligament and syndesmotic ligaments. 

It’s
a tear of the deltoid ... #syndesmotic #injury ... #deltoid #ligaments ... video #clinical #sports ... #orthopedics #instability
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down ... • Brushfield spots ... iris (pigmented spots ... atlanto-axial instability ... PhysicalExam #Features #Signs