Fractures of the proximal tibial epiphysis.
ABSTRACT 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.
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ABSTRACT: We analyzed 91 consecutive metaphyseal fractures, physeal injuries, and ligament ruptures in children aged 0-14 years. In the younger children, metaphyseal fractures dominated, whereas teenager had ligament rupture associated with low-energy trauma and physeal injury with high-energy trauma.Acta Orthopaedica Scandinavica 03/1987; 58(1):78-81.
- Acta Orthopaedica Scandinavica 07/1991; 62(3):293-4.
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ABSTRACT: In a prospective study of ankle fractures in children, the posttraumatic growth pattern was registered with a roentgen stereophotogrammetric technique. This method allows determination of growth rates within 3 months after fracture, and the prognosis for future growth can be determined within 6-8 months after fracture. The ankle fractures were classified anatomically according to Salter-Harris and traumatologically according to Gerner-Smidt. Nine cases were classified as due to pronation: two pronation-abduction injuries and seven pronation-eversion injuries. The pronation-abduction injuries had Salter-Harris type I injury in distal fibula and tibia, respectively, and showed initial growth stimulation and symmetric growth. The pronation-eversion injuries had a Salter-Harris type II injury in distal tibia and showed three types of growth pattern: initial growth stimulation (3 cases), growth arrest (2 cases), and progressive growth retardation (1 case), besides one case with no significant growth registered bilaterally. Asymmetric growth within the growth region was found in four cases; in three mainly as a varus position, in one mainly as antecurvation of the ankle joint. In conclusion, the pronation-abduction injuries showed growth stimulation, whereas the older showed progressive growth retardation or growth arrest.Acta Orthopaedica Scandinavica 01/1983; 53(6):1001-11.