Ryu and Debenham Type IV-A Proximal Tibia Epiphysiolysis. A Case Report

Keywords: Proximal tibia, epiphysiolysis, Kirschner wires, vascular injury, compartment syndrome

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

Download data is not yet available.

Author Biographies

Francisco Palma-Arjona, Clinical Management Unit for Orthopedic Surgery and Traumatology, Hospital Universitario de Jaén, Jaén, Spain
Clinical Management Unit for Orthopedic Surgery and Traumatology, Hospital Universitario de Jaén, Jaén, Spain
Carmen R. Valverde Cano, Clinical Management Unit for Orthopedic Surgery and Traumatology, Hospital Universitario de Jaén, Jaén, Spain
Clinical Management Unit for Orthopedic Surgery and Traumatology, Hospital Universitario de Jaén, Jaén, Spain

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

Published
2022-04-18
How to Cite
Palma-Arjona, F., & Valverde Cano, C. R. (2022). Ryu and Debenham Type IV-A Proximal Tibia Epiphysiolysis. A Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(2), 246-252. https://doi.org/10.15417/issn.1852-7434.2022.87.2.1412