Osteonecrosis of the Distal Tibia Metaphysis After a Salter-Harris I Injury: A Case Report

Department of Orthopaedic Surgery, University of Wisconsin, Madison, WI, USA.
Journal of orthopaedic trauma (Impact Factor: 1.8). 10/2011; 26(2):e11-5. DOI: 10.1097/BOT.0b013e318214e03c
Source: PubMed


Posttraumatic osteonecrosis has been well described as a common phenomenon seen in fractures of the femoral neck, talus, and scaphoid. In the following case, we describe posttraumatic osteonecrosis in a rare location: the distal tibia. Our report details a child who sustained a distal tibia physeal injury and subsequently developed radiographic findings consistent with aseptic necrosis. Besides a traumatic incident, the patient did not have any of the risk factors known to cause osteonecrosis. Awareness of this complication after Salter-Harris I fractures will help reduce time to diagnosis and optimize treatment.

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