Ryu and Debenham Type IV-A Proximal Tibia Epiphysiolysis. A Case Report
Abstract
Epiphysiolysis of the proximal tibia is a rare injury due to the surrounding structures that protect the area. In displaced fractures, the evaluation of vascular structures is mandatory to detect injury to the popliteal artery or the presence of compartment syndrome. We present a Salter & Harris type I epiphyseal injury of the proximal tibia in a 10-year-old boy.Downloads
References
Käfer W, Kinzl L, Sarkar MR. Epiphysenfraktur der proximalen Tibia. Unfallchirurg 2008;111(9):740-5.
https://doi.org/10.1007/s00113-007-1390-8
Israni P, Panat M. Proximal tibial epiphysis injury (flexion type, Salter-Harris type 1). J Orthop Case Rep 2016;6(4):62-5. https://doi.org/10.13107/jocr.2250-0685.572
Ryu RK, Debenham JO. An unusual avulsion fracture of the proximal tibial epiphysis. Case report and proposed
addition to the Watson-Jones classification. Clin Orthop 1985;194:181-4. PMID: 3978913
Steiger CN, Ceroni D. Mechanism and predisposing factors for proximal tibial epiphysiolysis in adolescents during sports activities. Int Orthop 2019;43(6):1395-403. https://doi.org/10.1007/s00264-018-4168-4
Silberman WW, Murphy JL. Avulsion fracture of the proximal tibial epiphysis. J Trauma 1966;6(5):592-4.
https://doi.org/10.1097/00005373-196609000-00003
Vyas S, Ebramzadeh E, Behrend C, Silva M, Zionts LE. Flexion-type fractures of the proximal tibial physis: a
report of five cases and review of the literature. J Pediatr Orthop B 2010;19(6):492-6. https://doi.org/10.1097/BPB.0b013e32833cb764
Oberle M, Bonetta M, Schlickewei W. Operative Therapie der kniegelenknahen Epiphyseolyse. Operative
Orthopädie und Traumatologie 2008;20(4):387-95. https://doi.org/10.1007/s00064-008-1410-z
Rodriguez I, Sepúlveda M, Birrer E, Tuca MJ. Fracture of the anterior tibial tuberosity in children. EFORT Open
Rev 2020;5(5):260-7. https://doi.org/10.1302/2058-5241.5.190026
Frey S, Hosalkar H, Cameron DB, Heath A, David Horn B, Ganley TJ. Tibial tuberosity fractures in adolescents. J
Child Orthop 2008;2:469-74. https://doi.org/10.1007/s11832-008-0131-z
Polakoff DR, Bucholz RW, Ogden JA. Tension band wiring of displaced tibial tuberosity fractures in adolescents. Clin Orthop Relat Res 1986;(209):161-5. PMID: 3731588
Pretell-Mazzini J, Kelly DM, Sawyer JR, Esteban EMA, Spence DD, Warner WC Jr, et al. Outcomes and
complications of tibial tubercle fractures in pediatric patients: a systematic review of the literature. J Pediatr Orthop 2016;36:440-6. https://doi.org/10.1097/BPO.0000000000000488
Wozasek GE, Moser KD, Haller H, Capousek M. Trauma involving the proximal tibial epiphysis. Arch Orthop
Trauma Surg 1991;110(6):301-6. https://doi.org/10.1007/BF00443463
Falster O, Hasselbalch H. Avulsion fracture of the tibial tuberosity with combined ligament and meniscal tear. Am J Sports Med 1992;20(1):82-3. https://doi.org/10.1177/036354659202000118
Lipscomb AB, Gilbert PP, Johnston RK, Anderson AF, Snyder RB. Fracture of the tibial tuberosity with associated ligamentous and meniscal tears. A case report. J Bone Joint Surg Am 1984;66(5):790-2. PMID: 6547142
Gautier E, Ziran BH, Egger B, Slongo T, Jakob RP. Growth disturbances after injuries of the proximal tibial
epiphysis. Arch Orthop Trauma Surg 1998;118:37-41. https://doi.org/10.1007/s004020050307
Özokyay L, Michler K, Müsgens J. Beidseitige atraumatische Tibiakopfepiphysiolyse. Unfallchirurg
;105(8):735-9. https://doi.org/10.1007/s00113-001-0412-1
Hasler CC, von Laer L. Pathophysiologie posttraumatischer Deformitäten der unteren Extremitäten
im Wachstumsalter. Orthopäde 2002;29(9):757-65. https://doi.org/10.1007/s001320050524
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