Consecutive Bilateral Proximal Tibial Fractures after Minor Sports Trauma

被引:4
作者
Kraus, R. [1 ]
Berthold, L. D. [2 ]
Heiss, C. [1 ]
Laessig, M. [2 ]
机构
[1] Univ Hosp Giessen, Dept Trauma Surg, D-35385 Giessen, Germany
[2] Univ Hosp Giessen, Dept Pediat Radiol, D-35385 Giessen, Germany
关键词
epiphyseal separation; transitional fracture; proximal tibia; adolescence; minor trauma; DISTAL TIBIA; INJURIES; GROWTH;
D O I
10.1055/s-2008-1038443
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Introduction: Fractures of the proximal tibia are infrequent during childhood and adolescence. However, intra-articular fractures, growth plate separations and metaphyseal fractures do appear. Case Report: An obese adolescent male Suffered from consecutive bilateral fractures of the tibia within 6 months of each after minor sports trauma. On the left side, the injury presented as a epiphyseal separation of the Salter-Harris I type; on the right side, as a transitional two-plane fracture. Both injuries were treated by percutanous screwing and healed without any signs of posttraumatic growth disorder. Discussion: Although proximal tibial injuries are rare, they frequently seem to appear bilaterally after inadequate trauma. A causal connection to morphological changes prior to physeal closure can be assumed.
引用
收藏
页码:41 / 43
页数:3
相关论文
共 23 条
[1]  
[Anonymous], AKT TRAUMATOL
[2]   Premature physeal closure following distal tibia physeal fractures - A new radiographic predictor [J].
Barmada, A ;
Gaynor, T ;
Mubarak, SJ .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2003, 23 (06) :733-739
[3]   Role of oestrogen in the regulation of bone turnover at the menarche [J].
Eastell, R .
JOURNAL OF ENDOCRINOLOGY, 2005, 185 (02) :223-234
[4]   Traumatic injuries of the distal femoral physis. Retrospective study on 151 cases [J].
Eid, AM ;
Hafez, MA .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2002, 33 (03) :251-255
[5]   Growth disturbances after injuries of the proximal tibial epiphysis [J].
Gautier, E ;
Ziran, BH ;
Egger, B ;
Slongo, T ;
Jakob, RP .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1998, 118 (1-2) :37-41
[6]  
Hasler CC, 2000, ORTHOPADE, V29, P757, DOI 10.1007/s001320050524
[7]  
Jonasch E, 1981, Hefte Unfallheilkd, V150, P1
[8]  
KNIE RS, 2007, VERLETZTE KIND, P82
[9]  
Kraus R., 2006, Osteo Trauma care, V14, P39, DOI [DOI 10.1055/s-2006-921365, 10.1055/s-2006-921365, DOI 10.1055/S-2006-921365]
[10]  
Lalonde F, 2005, RANGS CHILDRENS FRAC, P215