Fractures of the proximal tibial epiphysis are rare. A series of twenty-eight fractures classified according to the Salter-Harris method showed that nine were Type II and eight, Type IV. Lawn-mower injuries, a previously unreported mode of injury for this fracture, caused five of the eight Type-IV fractures and were associated with the worst prognosis by far. Two Type-V fractures in the proximal tibial epiphysis, previously unreported, are described.
[Show abstract][Hide abstract] ABSTRACT: Fractures of the proximal tibial epiphysis are not commonly seen and most often occur in young male adolescents. In this article four cases of tuberosity fractures will be discussed. Also the pathophysiology, classification, and treatment of these fractures will be outlined. An additional modification of the Watson-Jones classification will be suggested by the authors.
[Show abstract][Hide abstract] ABSTRACT: We report a very rare case of a 16-year-old healthy athletic boy who sustained simultaneous bilateral transitional fractures of the proximal tibia after kicking a football with his right leg during a soccer game. Following minimal invasive plate osteosynthesis with bridging of the growth plate, the patient recovered rapidly without any growth disturbances.
"Since the proximal tibia does not have any insertion point for ligaments, it is not exposed to varus or valgus stresses exerted via ligaments, and consequently proximal tibial epiphyseal fractures are very rarely seen entities, constituting only 0.5% of all epiphyseal fractures [5,10-12]. They frequently occur after a violent trauma, and especially in boys aged 12 to 14 years [10,11]. Usually, SH type 2 injuries are observed [5,12]. "
[Show abstract][Hide abstract] ABSTRACT: Introduction: Both the isolated distal femoral epiphysiolysis and the isolated proximal tibial epiphysiolysis are the least common epiphyseal injuries. Even though they are uncommon, they have a high incidence rate of complications.
Case presentation: We present a case with Gustilo-Anderson grade 3b open and Salter-Harris type 1 epiphysiolysis of the distal femur and proximal tibia caused by a farm machinery accident. The patient was a 10-year-old boy, treated by open reduction and internal fixation.
Conclusion: Although distal femoral and proximal tibial growth plate injuries are rarely seen benign fractures, their management requires meticulous care. Anatomic reduction is important, especially to minimize the risk of growth arrest and the development of degenerative arthritis. However, there is a high incidence of growth arrest and neurovascular injury with these type of fractures.
Keywords: Knee, Growth plate, Epiphysiolysis, Surgical treatment
Journal of Medical Case Reports 05/2013; 7(1):146. DOI:10.1186/1752-1947-7-146
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