Fractures of the proximal tibial epiphysis. J Bone Joint Surg Am

The Journal of Bone and Joint Surgery (Impact Factor: 5.28). 11/1979; 61(7):996-1002.
Source: PubMed


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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    • "Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries [1]. These fractures are usually classified according to the Salter-Harris classification or by the system developed by Watson-Jones [2] and are later modified by Ryu and Debenham [3], specifically for the proximal tibial epiphysis. "
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    ABSTRACT: Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries. The specific anatomical and developmental features of the proximal tibial epiphysis make it vulnerable to unique patterns of fractures. Vitamin-D plays a vital role in bone homeostasis and its deficiency has an impact on fracture risk and healing. We present the first ever reported case of simultaneous bilateral proximal tibial physeal fractures in an athlete with vitamin-D deficiency. Treatment consisted of plaster immobilisation, and the patient made a full recovery and returned to preinjury level of activities. We report this case for its uniqueness and as an educational review of the importance of the developmental anatomy of the proximal tibia. We review the literature and discuss how the stages of the growing physis determine the type of fracture sustained.
    10/2015; 2015(7):783046. DOI:10.1155/2015/783046
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    • "Fractures of the proximal tibial epiphysis are rare and include 0.3–2.7% of all epiphysiolyses [1] [2] [3] [4] [5] [6] [7]. "
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    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.
    Injury 05/2015; 41(8). DOI:10.1016/j.injury.2015.05.039 · 2.14 Impact Factor
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    • "During this phase, the growth plate consists of an anterior cartilaginous and posterior osseous part [1]. "
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    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.
    09/2013; 2013(7):724802. DOI:10.1155/2013/724802
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