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While playing on her swing set, 10-year-old Yasmin falls and breaks her right leg. At the emergency room, the physician tells Yasmin's parents that the proximal end of the tibia, where the epiphysis meets the diaphysis, is fractured. The fracture is properly set and eventually heals. During a routine physical when she is 18 , Yasmin learns that her right leg is 2cm2 cm shorter than her left, probably because of her accident. What might account for this difference?

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The bones in 10-year-olds are yet in the process of growing. That process is happening in the ends of their long bones, on the border between the epiphysis and diaphysis, by actions of the structure called epiphyseal cartilage\text{\textcolor{#c34632}{epiphyseal cartilage}}.

In our case girl injured her tibia at the proximal end, and obviously damaged the epiphyseal cartilage. As the consequence of the fracture and the damage of the epiphyseal cartilage, injured bone can not grow as it should, even after it completely heals. That is the reason that Yasmin will have one leg shorter than another, because her right leg could not grow as her left did.

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