RT Journal Article SR Electronic T1 Accessory ossicle or intraepiphyseal fracture of lateral malleolus: are we familiar with these? JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 149 OP 152 DO 10.1136/emj.2003.012427 VO 22 IS 2 A1 V Mandalia A1 V Shivshanker YR 2005 UL http://emj.bmj.com/content/22/2/149.abstract AB A case of intraepiphyseal injury (type 7) to the lateral malleolus in a 11 year old child is described. This rare injury cannot be classified by commonly used Salter Harris classification for epiphyseal injury. Although less common, accessory ossicle of the malleoli is an important differential diagnosis for such injury. Details of type 7 intraepiphyseal injuries and accessory ossicle are described.